Acting ethically,responding culturally: framing the new reproductive and genetic technologies in Sri Lanka

The spread of new reproductive and genetic technologies to the developing world stimulates reflection on the ethical issues they generate. The ‘built-in-ness’ of assumptions about personhood and relationality within these technologies means that local professionals must, perforce, engage with attempts to make sense of new technology with reference to local meanings and traditions or take positions which reject them. This paper explores such attempts to indigenise bioethics in contemporary Sri Lanka with reference to ethical/ cultural conflicts surrounding two practices: donor insemination and consanguinity counselling. The former is discussed in relation to the now defunct practice of polyandry and the latter in relation to matrilateral cross-cousin marriage. The final discussion takes up the consequences of this detailed parsing of local relationality for the larger project of rendering bioethics in some sense comparative.     

FERAL ARCHAEOLOGY AND THE ATLANTIS PROBLEM: THE 'HOAX' TRICK AS DISCURSIVE PATHOLOGY

This article uses a case study of a TV programme, Atlantis Uncovered, an archaeological programme debunking popular ideas of Atlantis and the ancient past, as an instance of a discursive paradox, or discursive pathology, in which defenders of traditional canons of scholarship (science and rationality) decide they must go feral, fighting fire with fire, using the illogical and irrational methods of thought they attribute to what they perceive as the enemies of reason in order to defeat them. The devices used in the archaeological programme are compared with the devices used in a more famous and influential ‘hoax’, Sokal's so-called ‘spoof’ of postmodernism published in the journal Social Text, used to discredit ‘postmodernism’ and cultural studies. The two episodes, with all their differences, suggest that whether these tactics are successful or not, they contradict the core beliefs in rationality and science of their protagonists, illustrating instead the ‘postmodern’ decline in intellectual values that they claim to deplore.     

Circumstances Change Cases: Local Government and the NHS

The role of local government in health care matters in Britain has never been trouble-free. From the dissolution of the Boards of Guardians in 1929, through to the creation of the NHS in the 1940s and the introduction of the internal market in the 1990s, there have been political and professional arguments surrounding the issue and, for the most part, the case for democratic local governance of health care has failed to carry the day. This paper looks back to earlier debates, examines the current policy context, and looks ahead to possible future scenarios. It argues that the changing circumstances of both the NHS and local government makes this an apposite time to rethink established structures.     

Reviews

Emmanuel Le Roy Ladurie, Montaillou: Cathars and Catholics in a French Village, 1294–1324, translated by Barbara Bray (1978), xvii+383 (The Scolar Press, £12.50).

Alan Macfarlane, The Origins of English Individualism. The Family, Property and Social Transition (Oxford, 1978), xvi+216 (Basil Blackwell. £8.50).

Thomas A. Brady, Jr., Ruling Class, Régime and Reformation at Strasbourg 1520–1555 (1978), xxi+458 (Brill, Leiden, 124 guilders).

Andrew B. Appleby, Famine in Tudor and Stuart England (1978) x+250 (Liverpool University Press, Liverpool, £10.75). Victor Skipp, Crisis and Development. An ecological case study of the Forest of Arden, 1570–1674 (1978) xii+132 (Cambridge University Press, Cambridge, £6.50).

Patricia Branca, Women in Europe since 1750 (1978), 233 (Croom Helm, £8.95, paperback £3.95).

John W. Blassingame (ed.), Slave Testimony: Two Centuries of Letters, Speeches, Interviews, and Autobiographies (1977), lxv+777 (Louisiana State University Press, Baton Rouge, paperback £7.50).

Jonas Frykman, Horaa i bondesamhället (1977), 230 (Liber Läromedel, Lund, 24 Sw. cr.). (The Whore in Peasant Society)

Helmut Bleiber (ed.), Bourgeoisie uad bürgerliche Umwälzuagin Deutschland 1789–1871 (Akademie der Wissenschaften der DDR: Schriften des Institute für Geschichte, 50, 1977) xii+525 (Akademie‐Verlag, East Berlin, 48M). (Bourgeoisie and Bourgeois Upheaval in Germany 1789–1871)

A. P. Donajgrodzki (ed.), Social Control in Nineteenth‐Century Britain (1977)! 258 (Croom Helm, £8.50).

Anthony S. Wohl (ed.), The Victorian Family (1978), 224 (Croom Helm, £7.95).

M. J. Daunton, Coal Metropolis Cardiff 1870–1914 (1977), 260 (Leicester University Press, Leicester, £12.00).

W. A. Speck, Stability and Strife: England 1714–1760 (1977), viii+311 (Edward Arnold, £9.95, paperback £3.50).

Howard Newby, The Deferential Worker: a study of farm workers in East Anglia (1977), 462 (Allen Lane, £9.00).

John Stevenson and Chris Cook, The Slump: Society and Politics during the Depression (1977), 348 (Jonathan Cape, £8.95).     

The journey effect: how travel affects the experiences of mental health in-patient service-users and their families

The qualitative study presented in this paper explored the perspectives of service-users, family members and staff about the impact of travel issues on the lives of mental health in-patients and carers. This topic was chosen because it was prioritised by members of Xplore, a service-user and carer research group, and has received little research attention. Travel problems were a significant issue for many service-users and carers, bound-up with mental health issues and the recovery experience. Travel facilitation through the funding of taxis and the provision of guides was appreciated. A few service-users and carers positively valued distancing from their previous home environment. The meaning of travel issues could only be understood in the context of individuals’ wider lives and relationships. The significance of the findings is discussed in relation to the social model of disability.     

'Normal' Life in a Hazardous World: How Adults with Moderate Learning Difficulties and Their Carers Cope with Risks and Dangers

Semi-structured interviews were conducted with 20 adults with moderate learning difficulties attending Adult Training Centres and with their informal carers. Interviews covered friendships, relationships with the opposite sex, leisure and independent living and were analysed using a grounded theory approach. Ways of dealing with hazards emerged as an important theme. Hazards could be seen as dangers to be avoided or as risks to be calculated and minimised. Adults and informal carers usually viewed hazards in a similar way but there were conflicts of view in some families. Treating hazards as dangers to be avoided appeared to be associated with professional or skilled manual social background and the presence of both parents in the household.     

Rethinking Empowerment: A Postmodern Reappraisal for Emancipatory Practice

Summary This article is concerned with the implications of the postmodernchallenge to critical theory for the practice of empowerment.How do we conceptualize empowerment from a postmodern perspective?It is argued that the modernist concept of power upon whichempowerment rests, can have unintended disempowering effects.By conceptualizing power as a commodity, identities are forcedinto a powerful–powerless dualism which does not alwaysdo justice to diverse experiences. Thus we can sometimes contributeto dominance in spite of our liberatory intentions. It is arguedthat social workers need to become more aware of the self-discipliningand self-regulatory processes involved in professional workto address the social relations of power embedded in professionalpractices. Foucault's analysis of how marginalized knowledgesare affected by dominant cultural practices suggests a redefiningof empowerment as the insurrection of subjugated knowledge.The implications of this redefinition for practice is illustratedby reference to work with indigenous people in Australia.