Choice,freedom, and freedom of choice

This paper argues in favour of a distinction between freedom and freedom of choice – a distinction that economists and political philosophers have so far either ignored or drawn wrongly. Drawing the distinction correctly may help to resolve a number of disputes in contemporary political philosophy and non-welfarist normative economics regarding the so-called preference-based account of freedom and the relevance, to judgements about freedom, of degrees of similarity between agents options. The paper begins by setting out three much discussed axioms for the measurement of freedom (of choice?) originally put forward by Pattanaik and Xu. It is suggested that the problems these axioms give rise to can be solved by distinguishing correctly between freedom and freedom of choice. The paper then sets out definitions of freedom, choice and freedom of choice, justifying these in philosophical terms and arguing their superiority to alternative definitions. Finally, on the basis of these definitions and with reference to Pattanaik and Xus axioms, it is shown that an agent can enjoy freedom without enjoying freedom of choice, and that she can enjoy an increase in one of these without enjoying an increase in the other. For their helpful comments on earlier drafts of this paper, I should like to thank Keith Dowding, Martin van Hees, Matthew Kramer, Marco Negri, Serena Olsaretti, Olof Page, Mario Ricciardi, Alan Ritter, Hillel Steiner, Kotaro Suzumura and audiences at seminars in Manchester, Palermo, Pavia and Oxford. I am grateful to the Italian Ministry for Higher Education (MURST) and the Italian National Research Council (CNR) for funding that facilitated the completion of the paper.     

Welfarist-consequentialism,similarity of attitudes,and Arrow’s general impossibility theorem

Two features of Arrows social choice theory are critically scrutinized. The first feature is the welfarist-consequentialism, which not only bases social judgements about right or wrong actions on the assessment of their consequences, but also assesses consequences in terms of peoples welfare and nothing else. The second feature is a similarity of peoples attitudes towards social outcomes as a possible resolvent of the Arrow impossibility theorem. Two extended frameworks, one consequentialist and the other non-consequentialist, are developed. Both frameworks are shown to admit some interesting resolutions of Arrows general impossibility theorem, which are rather sharply contrasting with Arrows own perspective.     

Head movement during listening turns in conversation

In five subjects, head movement during conversation was monitored by polarised light goniometry, and recorded alongside speech and a signal proportional to peak amplitude of sound waves (peak loudness). Kinematic properties of listeners' head movements, such as amplitude, frequency and cyclicity, differentiated various conversational functions. That is, they were function-specific: symmetrical, cyclic movements were employed to signal yes, no or equivalents; linear, wide movements anticipated claims for speaking; narrow linear movements occurred in phase with stressed syllables in the other's speech (ynchrony movements); and wide, linear movements occurred during pauses in the other's speech. That, it is argued, bears upon the relation between thesignalling of communicative intentions and the synchronisation of interactional rhythm. Thus, the former appears to determine the timing and tempo of responses such as yes and no, while the latter determines the regulation of synchrony movements. The manner in which these factors interact in other conversational functions and their theoretical implications are discussed.     

The Dodgson ranking and its relation to Kemeny’s method and Slater’s rule

In this paper we provide a binary extension of Dodgsons non-binary preference aggregation rule. This new aggregation rule is then compared to two other rules which, as Dodgsons rule, are also explicitly based on distance functions, namely Kemenys and Slaters rule. It is shown that the alternative which is top ranked by any of those rules can occur at any position in the Dodgson ranking.I am very grateful to Nick Baigent, Daniel Eckert and the participants of the CEPET 2002 Workshop in Udine and the Graz University Research Seminar for their comments on earlier drafts of this paper. It goes without saying that any remaining errors are exclusively the authors responsibility.     

Only sane: Autistic barriers in “boring” patients

This paper addresses needs of patients whom Winnicott called boring. Although often functioning well in the work world, they lack a rich inner life and a capacity for intimacy. Thus, psychotherapy is particularly problematic for them. To develop a model for working with this group of patients, the authors elaborate the concept of autistic barriers from British object relations theory, and suggest a changing role for the therapist in four successive phases of the treatment.     

Brief Communications: Treating Problem Gamblers: A Residential Therapy Approach

The Gordon House Association (GHA) is the UK's only specialist and dedicated residential facility for problem gamblers. This paper describes the GHA therapeutic programme which is centred round a nine-month period of residency. Progression through the programme is described by overviewing each of the phases. These are initial assessment and five distinct phases comprising coping with today (Phase One), coping with yesterday (Phase Two), coping with change (Phase Three), coping with tomorrow (Phase Four), and coping on my own (Phase Five). These phases are themselves underpinned within the GHA core therapeutic approach which is also described.     

Addiction to fruit machines: A preliminary study among young males

Although most sources treat gambling as an adult phenomenon, adolescent gambling is more widespread than is generally recognized, and in some cases may even be pathological. This paper outlines a preliminary study of eight adolescents addicted to playing and gambling on coin-in-the-slot machines (more commonly known as fruit machines). Factors involved in the onset of fruit machine playing are examined along with their alternative gambling activities and associated problems. The role of skill and excitement components in persistent playing are also discussed.The author would like to thank the United Kingdom Economic and Social Research Council for funding this work through a research studentship.     

Gender and Community Context: An Analysis of Husbands’ Household Authority in Rural Guatemala

Drawing on research about womens autonomy, gender, and development, and Latin America, I analyze individual, household, and community-level factors associated with husbands sole authority with regard to four household issues: (1) money management; decision-making about (2) food purchases, (3) medicine purchases, and (4) health providers. The results point to how husbands authority varies across household issues and how the dynamics of authority differ with regard to money management and the other decision-making issues studied. This study found that husbands authority varied not only by individual characteristics but also by community features and thus adds to efforts to represent more fully how context matters to household gender relations.     

Brief Report: Thin Slices of Racial Bias

The present work examined the detection of racial bias through thin slices of nonverbal behavior. Thirty Black and 30 White American judges rated the nonverbal behavior displayed by White individuals from 20-seconds of silent videotape of an interaction with either a Black or a White confederate. Correlations between judges nonverbal ratings and targets scores on a response latency measure of racial bias (i.e., Implicit Association Test, IAT) as well as on a self-report racial bias measure (i.e., Affective Prejudice Scale) were obtained. Results revealed that relative to White judges, Black judges nonverbal behavioral ratings were better predictors of both White individuals IAT and explicit racial bias scores, but only if those targets were engaged in an interracial dyad. The results are consistent with recent research finding that subtle forms of racial bias leak through nonverbal behavior, as well as with work noting the predictive accuracy of judgments made from thin-slices of nonverbal behavior.Jennifer A. Richeson and J. Nicole Shelton. Jennifer A. Richeson, Dartmouth College; J. Nicole Shelton, Princeton University. This research was supported by a Rockefeller Center Faculty Fellowship from Dartmouth College awarded to JR, as well as a research grant from Princeton University awarded to JNS. We thank Sue Paik, Lisa Pugh, Kurt Peters, and Leigh Poretzky for help with data collection and stimulus preparation.     

Factors Contributing to Parents’ Preparation For Special-Needs Adoption

Three hundred and sixty-eight parents shared their perceptions of special-needs adoption preparation. Utilizing both quantitative and qualitative data to determine and understand what factors contribute to preparation, this study found that 12 child, family, and agency variables were correlated with perceived preparation, and that parents perceived level of preparation was predicted by the childs ability to attach, by the parents relationship with the agency, by the duration of the adoption, and by the parents ages at the time of adoption. Implications of these findings are discussed, as they relate to supporting parents, children, and families in special-needs adoptive placements.     

The Effect of a Family Policy Reform on Mother’s Pay: A Natural Experiment Approach

All parents in Norway with children aged one to three, who do not attend publicly subsidised day care, are entitled to a cash-for-care (CFC) subsidy. Studies have shown that the reform has reduced mothers labour supply. In this paper we analyse wage effects of the reform. We put forward a framework for evaluating reforms when reforms are uniformly and equally accessible nation-wide. First, running a simple Difference in differences (DD) analysis, results suggest that the CFC reform has reduced the mothers wages. However, after controlling for the age of the child effect, by running a triple difference approach, we no longer find any evidence of negative wage effects.This revised version was published online in May 2005 with corrections to the authors name and to the heading of table A2.     

The Guijin Therapist and the Nature of Therapeutic Truth: A Relational Perspective

The professional literature is replete with examples of the benefits of the client–clinician dyad being of the same ethnic group. Noted advantages include a perceived implicit understanding of the clients subjective experience and a furthering of the therapists personal and professional growth as a result of the therapeutic interaction. This paper suggests that there are also benefits to the clinician being considered a guijin or outsider to the clients culture of origin. Utilizing a relational perspective with an emphasis on multiple self-state theory, this paper will discuss the advantages of being perceived as an outsider when working with an Asian bicultural client.An earlier version of this paper was presented at the Annual International Conference for the Advancement of Private Practice in Clinical Social Work in Lisbon, Portugal on June 8, 2002.     

Inequality and welfare evaluation of heterogeneous income distributions

This paper establishes the principles that should govern the welfare and inequality analysis of heterogeneous income distributions. Two basic criteria – the equity preference condition and the compensation principle – are shown to be fundamentally incompatible. The paper favours the latter, thereby vindicating the traditional method of dealing with heterogeneous samples. However, inequality and welfare comparisons will usually be well defined only if equivalent incomes are obtained using constant scale factors; and researchers will need to distinguish clearly between inequality of nominal incomes and inequality of living standards. Furthermore, household observations must always be weighted according to family size.     

KNOWING TOO MUCH ABOUT OTHERS: MODERATORS OF THE RELATIONSHIP BETWEEN EAVESDROPPING AND RAPPORT IN SOCIAL INTERACTION

This study examined the association between a partners ability to eavesdrop on nonverbal cues and an actors feelings of rapport during interaction, as well as neuroticism and self-monitoring as moderators of this effect. Eavesdropping ability was defined as lower sensitivity to cues of the face, a source of overtly displayed emotions, relative to sensitivity to cues of the body, a source of leakage of covert or hidden emotions. Results showed that actors felt less rapport the higher their partners eavesdropping. High neuroticism actors were especially likely to feel worse about their interaction and themselves when their partners were good at eavesdropping. In both instances, the eavesdroppers nonverbal behavior seems to have mediated the associations to a small degree.Both authors contributed equally to this paper. This research was supported by a Mary Switzer Research Fellowship to Tickle-Degnen from the National Institutes of Disability and Rehabilitation Research of the US Department of Education, a Sargent College of Boston University Accelerated Research Grant, and funding from the American Occupational Therapy Association, Inc., the American Occupational Therapy Foundation, and Boston University through the Neurobehavioral Rehabilitation Research Center for Scholarship and Research.     

Welfare,Intergenerational Cohabitation Penalties,and Single Mothers’ Employment

The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 changed welfare programs by increasing state income maintenance programs emphasis on employment. Following reform, several states paid reduced welfare benefits to single mothers who resided in their parents homes, compared to those single mothers who lived independently. This paper evaluates whether the benefit reductions lower the probability of intergenerational cohabitation or the employment of single mothers recognizing that family support might facilitate single mothers labor market attachment. The results suggest that family cohabitation penalties reduce the likelihood single mothers live in their parents households and work. Despite several empirical limitations, the results offer evidence that intergenerational living arrangements positively influence employment.*The views expressed in this paper are solely those of the author and do not necessarily represent those of the Federal Reserve Board or its staff. Thanks to the Urban Institute and staff, in particular Gretchen Rowe for discussing policy collection and information. Beneficial comments have come from the editor, Shoshana Grossbard, two referees, Donna Gilleskie, David Guilkey, William Grant, Carolyn Heinrich, Thomas Mroz, and Wilbert van der Klaauw.     

Ideology and welfare in the UK: the implications for the voluntary sector

The UK has, over recent years, moved from a welfare state to a more market-oriented system of welfare. But the extent of this change has varied considerably according to the ideological position of local government in different parts of the country. This makes it possible within one country to assess the implications for the voluntary sector of different models of welfare. This article develops a framework for looking at different welfare ideologies and the values they espouse, with reference both to the UK and to the models that exist in other countries. It then takes four examples of UK local authorities which demonstrate the different models and examines the implications for the voluntary sector. In doing so, it examines the prospects for the voluntary sector to deliver both service and political pluralism in the future.     

Rethinking the science-policy nexus: from knowledge utilization and science technology studies to types of boundary arrangements

The relationship between political judgment and science-based expertise is a troubled one. In the media three cliché images compete. The business-as-usual political story is that, in spite of appearances to the contrary, politics is safely on top and experts are still on tap. The story told by scientists is that power-less but inventive scholars only speak truth to power. But there is plenty of room for a more cynical interpretation. It sees scientific advisers as following their own interests, unless better paid by other interests, and politicians as asking for advice only to support and legitimize their pre-formed political decisions. To the extent this cynical perspective gains ascendancy, politics and science lose credibility. If we think the three clichés cloak a more complex reality, we should embark upon a quest for other, possibly better models of the science/politics nexus. That is exactly the purpose of this article. Its claim is that a mutual transgression of the knowledge utilization strand of research in policy studies and the study of science, technology and society will provide us with more sophisticated images of science/politics boundary arrangements. Building upon Habermas well-known distinctions and Wittrocks historical-institutional approach in the construction of a property space, eight models are presented. We should try to discover the conditions under which some of these models may claim greater verisimilitude. This may allow us to rethink the role of scientific expertise in policymaking and generate a model that guides experts and policymakers (and perhaps other stakeholders as well) in their day-to-day boundary work.

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Zusammenfassung Die Beziehung zwischen politischem Urteil und wissenschaftlicher Expertise ist problematisch. In den Medien wetteifern heute drei Klischees dazu. Allem gegenteiligen Anschein zum Trotz ist die Sichtweise der Politik gewöhnlich, dass sie sicher alle Fäden in der Hand hält und die Experten auf Abruf bereitstehen. Wissenschaftler vertreten dagegen die Auffassung, sie seien machtlose, wenngleich erfindungsreiche Gelehrte, die lediglich den Mächtigen die Wahrheit sagen. Daneben ist jedoch reichlich Raum für eine zynischere Betrachtungsweise, nach der wissenschaftliche Berater ihre eigenen Interessen verfolgen, sofern andere Interessen sie nicht besser bezahlen, und Politiker nur solchen Rat suchen, der ihre vorgefassten politischen Entscheidungen stützt und legitimiert. In dem Maße, wie diese zynische Sicht die Oberhand gewinnt, verlieren Politik und Wissenschaft an Glaubwürdigkeit. Wenn wir jedoch meinen, dass diese drei Klischees eine komplexere Realität verhüllen, dann sollten wir nach anderen, möglicherweise besseren Modellen für den Nexus zwischen Wissenschaft und Politik suchen. Genau darauf zielt dieser Artikel ab. Wir behaupten, dass ein beidseitiges Überschreiten des Forschungsansatzes zur Wissensanwendung in den Politikwissenschaften und in der wissenschaftlichen Betrachtung von Naturwissenschaft, Technologie und Gesellschaft hochauflösendere Bilder von den Verhältnissen an der Grenze zwischen Wissenschaft und Politik liefert. Wir präsentieren acht Modelle, aufbauend auf Habermas bekannten Unterscheidungen und Wittrocks historisch-instutionellem Ansatz zur Konstruktion eines Eigenschaftsraums. Wir sollten nach den Bedingungen suchen, unter denen manche dieser Modelle eine größere Wahrheitsnähe für sich beanspruchen können. Dies könnte uns ermöglichen, die Rolle wissenschaftlicher Expertise bei politischen Entscheidungsprozessen neu zu überdenken und ein Modell zu schaffen, an dem sich Experten und politische Entscheidungsträger (und vielleicht auch andere Beteiligte) in ihrer täglichen Arbeit im fraglichen Grenzbereich orientieren können.

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Résumé La relation entre le jugement politique et lexpertise à fondement scientifique est problématique. Dans les médias, trois clichés se disputent la première place. Même si les apparences indiquent le contraire, le langage du monde politique montre que ce dernier tient les rênes et que les experts doivent répondre à lappel. Le message diffusé par les scientifiques consiste à dire quils sont des érudits certes sans pouvoir mais ingénieux, qui se contentent de «dire la vérité aux puissants». Mais ceci laisse assez de place à une interprétation plus cynique, suivant laquelle les conseillers scientifiques poursuivent leurs propres intérêts, à moins que dautres intérêts ne les rémunèrent mieux; et les hommes politiques ne leur demandent leur avis que pour étayer et légitimer les décisions politiques quils ont déjà prises. La politique et la science perdent de leur crédibilité à mesure que cette vision cynique gagne du terrain. Si nous pensons que ces trois clichés cachent une réalité plus complexe, il nous faudra chercher dautres modèles, meilleurs si possible, pour la connexion entre science et politique. Tel est exactement lobjectif de cet article. Il affirme quune transgression mutuelle des filières dutilisation du savoir dans la recherche en sciences politiques et létude de la science, de la technologie et de la socièté nous fournira un tableau plus complexe des rapports en présence sur les lignes de démarcation entre science et politique. Il présente huit modèles sur la base des distinctions bien connues dHabermas et de lapproche historico-institutionnelle de Wittrock sur la construction dun espace de propriété. Nous devrions rechercher les conditions dans lesquelles certains de ces modèles peuvent se targuer dêtre très vraisemblables. Ceci nous permettrait de repenser le rôle de lexpertise scientifique dans la production politique et de créer un modèle capable de guider les experts et les politiques (et peut-être aussi dautres intéressés) dans leur travail quotidien aux frontières de ces deux domaines.

     

Health technology assessment: trying to bring empirical and ethical inquiry together

A comprehensive assessment of a health technology requires that a wide variety of questions are addressed. These range from whether the use of a technology results in achievement of its intended effects (e.g., better tumour control, pain relief, improved mobility, etc.) at acceptable costs and without incurring undue risks to the patient, to whether its use may challenge existing social arrangements and values (e.g., individual responsibility for preserving good health, the value of human life, etc.). Clearly, this is a major challenge, since it requires the use of quite different methods of inquiry. In the past decades, we have rarely witnessed assessments where both types of questions were addressed in a balanced way. Rather, a wide gap exists between inquiries with a strong empirical focus and an almost complete neglect of underlying normative issues, and inquiries which are largely discursive, but with a serious disregard of relevant empirical data. The complex interplay between normative frameworks and empirical data in the assessment of health technologies is illustrated in two case studies: the assessment of surgical management of children with glue ears, and the assessment of Extra Corporeal Membrane Oxygenation in neonates.

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Zusammenfassung Die unfassende Beurteilung einer Medizintechnologie erfordert das Angehen einer Vielfalt ganz verschiedener Fragen. Das Spektrum reicht von der Frage, ob der Einsatz einer Technologie die angestrebten Ergebnisse zeitigen wird (z. B. verbesserte Tumorkontrolle, Schmerzlinderung, bessere Beweglichkeit etc.), ob dies zu akzeptablen Kosten möglich ist, und ohne übermäßige Risiken für den Patienten, bis zu der Frage, ob ihr Einsatz bestehende gesellschaftliche Übereinkünfte und Werte bedroht (z. B. die Verantwortung des Individuums für die Erhaltung seiner Gesundheit, der Wert menschlichen Lebens etc.). Dies ist offenbar eine große Herausforderung, da die Beantwortung dieser Fragen den Einsatz verschiedenster Untersuchungsmethoden erfordert. In den vergangenen Jahrzehnten ist nur selten eine Beurteilung erschienen, in der beide Fragentypen auf ausgewogene Weise berücksichtigt waren. Das Bild ist eher das einer weiten Kluft zwischen in hohem Maße empirisch orientierten Studien, in denen die zugrunde liegenden normativen Fragen fast vollkommen vernachlässigt bleiben, und solchen, die weitgehend diskursiv gestaltet sind, dabei jedoch die relevanten Erfahrungsdaten sträflich missachten. Das komplexe Zusammenspiel zwischen dem normativen Rahmen und empirischen Daten in der Beurteilung von Medizintechnologien wird anhand zweier Fallstudien dargestellt: die Beurteilung des chirurgischen Managements von Kindern mit Mittelohrentzündung und die Beurteilung der extrakorporalen Membranoxygenation in Neugeborenen.

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Résumé Lévaluation complète dune technologie de la santé exige daborder un grand nombre de questions. Celles-ci vont de la question de savoir si la mise en oeuvre dune technologie aboutira aux résultats escomptés (p. ex. meilleure maîtrise des tumeurs, atténuation de la douleur, meilleure mobilité, etc.), à des coûts acceptables et sans risques excessifs pour le patient, à la question de savoir si son utilisation menace le consensus et les valeurs sociales (p. ex. responsabilité de lindividu pour la préservation de sa santé, valeur de la vie humaine, etc.). Ceci est certes un défi de taille, qui exige différentes méthodes détude. Au cours des décennies écoulées, nous avons rarement assisté à des évaluations dans lesquelles ces deux types de questions étaient pris en compte de façon équilibrée. Au contraire, il existe plutôt un profond fossé entre les études mettant fortement laccent sur les aspects empiriques et négligeant presque entièrement les questions normatives sous-jacentes, et les études largement discursives, mais qui ignorent superbement les données empiriques pertinentes. Linteraction complexe entre cadres normatifs et données empiriques dans lévaluation des technologies médicales est illustrée par deux études de cas : lévaluation de la gestion chirurgicale des enfants souffrant dotites, et lévaluation de loxygénation extracorporelle chez le nouveau-né (ECMO).

     

Comment on stephen M. Wunker, ‘The promise of non-profits in Poland and Hungary: an analysis of third sector renaissance’

Both the pre-war tradition and the real socialist system have influenced the form of the non-profit sector emerging in Poland. In as much as the pre-war traditions are continued by the church charities, lay institutions are established on the basis of state structures in the form of specific non-profit organisations subsidised to a large extent by the state (the so-called non-profit social institutions). Perhaps in this way partnership relations will develop between the government and nonprofit organisations which will continue to expand. The stage through which Poland is currently passing means that a coherent system of non-profit organisations has not yet developed and, what is more, it is seldom called a voluntary or third sector. The only formalised institutions are foundations and associations. It is evidently necessary to fill the gap in social service provision caused by government and market failures, and we may cherish a hope that such a system of non-profit organisations providing services to those in most need will soon be created in Poland.     

Prevention and Intervention: Using Resiliency-Based Multi-Setting Approaches and a Process-Orientation

How to best help children grow up in the face of multiple risks is addressed. Two intervention approaches are presented. The first is a resiliency-based intervention approach focused on increasing protection and decreasing risks faced by children. The use of multi-setting resiliency-based interventions and the use of collaboration across schools, families and communities are discussed. The second approach focuses on using a process orientation in interventions with at-risk children and their families as a means of working with different cultural, family, and individual issues that affect childrens development and families goals. Successes of intervention approaches are discussed.