Positivism: paradigm or culture?

Much post-positivist policy theory implies that positivism exists as a self-protecting paradigm. Inspired by a one-sided reading of Kuhn, this understanding suggests that policy positivism must be overcome as a whole. This approach is problematic. In particular, there are important contradictions between various elements commonly said to be part of the positivist paradigm, contradictions that make it difficult to believe that the paradigm can be embraced as a whole. An alternative approach views positivism as a culture. Since components of any culture can evolve independently of each other, a cultural approach would focus its critique on specific dimensions of positivism. This approach would provide more rigor to policy critique, and push post-positivists to overcome weaknesses in their own theories, in particular those concerning the question of truth.     

Contextualizing Business Ethics: Anomie and Social Life

The objective of this paper is to explore howthe current interest in Business Ethics can be locatedwithin an analysis of contemporary society which takesinto account the prevalence of moral uncertainty along with the concomitant desire to(re)establish some form of normative order. As such,Business Ethics may be seen as a socially constructedfield of study which reflects broaderchanges and controversies within society. Yet as a body of knowledge,Business Ethics articulates epistemological doubts. Twodistinctive themes in Business Ethics discourse areconsidered — the modernist/rationalist and thepostmodernist/relativist. It is argued that in different ways, each canbe seen as both an expression of, and a reaction to, theincreasing incidence of anomie in society. Theimplications for organizational practices are thenconsidered through the example of Corporate Codes ofEthics and the problem of establishing consensus wherethe grounds for any claim to moral authority areproblematic.     

Existence and Uniqueness of Q-Processes with a Given Finite μ-Invariant Measure

Let Q be a stable and conservative Q‐matrix over a countable state space S consisting of an irreducible class C and a single absorbing state 0 that is accessible from C. Suppose that Q admits a finite μ‐subinvariant measure m on C. We derive necessary and sufficient conditions for there to exist a Q‐process for which m is μ‐invariant on C, as well as a necessary condition for the uniqueness of such a process.     

The tidal model. The healing potential of metaphor within a patient's narrative

1. The human experience of growth and development is a fluid phenomenon, occurring in small, barely visible changes. 2. The Tidal Model embraces a patient's expression of his or her experience by focusing on the lived experience of the narrative and its personally meaningful metaphors and symbols. 3. To re-empower a patient, the Tidal Model assessment is written in the patient's own voice and all care planning is conducted conjointly. 4. The Tidal Model was developed from empirical studies of the perceived need for nursing and the process of empowerment in clinical nursing practice.     

The impact of high-calorie-expenditure exercise on quality of life in older adults with coronary heart disease

The acceptability of a high-calorie-expenditure (HCE) exercise program in older coronary heart disease patients participating in a behavioral weight-control program was evaluated. Seventy-four overweight patients (median age 63 yr) were randomly assigned to a 5-mo intervention of HCE exercise (3,000-3,500 kcal/wk daily walking) or standard cardiac-rehabilitation (CR) exercise (700-800 kcal/wk). Both groups received counseling to achieve a dietary caloric deficit of 3,500 kcal/ wk. Assessments at baseline and 5 mo included self-reported measures of quality of life and psychosocial variables. The HCE group experienced significantly greater weight loss (8.2 ± 4 vs. 3.7 ± 5 kg, p < .001). Changes from baseline to 5 mo on scores of physical, emotional, and social functioning were greater for the HCE than CR group (p < .05). HCE exercise also resulted in greater positive change in exercise enjoyment (p = .05), which was mediated by weight change. Even high-risk older adults can be successful in an HCE exercise program and experience no adverse physical or emotional changes.     

Postmodern synergistic knowledge creation: extending the boundaries of disability studies

The tensions between the competing discourses of the medical and the social models of disability have traditionally provided a platform for discussion and research in the fields of disability studies and special needs education. Over the last 30 years a wealth of literature has consolidated the debate and produced particular knowledge of impairment and disability. In this paper we argue that by privileging notions of ‘deficit’ within these medical or social model perspectives the richness of the lived experience of people with impairments is denied. The individual becomes lost within a framework of medical symptoms or social inequalities. This paper considers alternative approaches which reveal a fuller picture of the lives of people with impairments. The authors conducted two separate empirical studies, one employing a Deleuzo‐Guattarian perspective, the other a Bourdieusian perspective. In this paper we illustrate how these theories of practice can reveal situated understandings of the individual with impairments and his/her daily life. By embracing new understandings and different theoretical perspectives we show how new knowledge can emerge to illuminate the fluid and ever‐changing notions of ‘disability’, ‘inclusion’ and ‘exclusion’, which form elements of the individual lived experience of the research participants.