bluuebunny/crossref_metadata_2025 huggingface dataset:
Hong Kong and the globalisation of the Chinese diaspora: a geographical perspective
Authors: Lin George C.S.
Published: March 2003

This study examines the processes of spatial restructuring in the Hong Kong–South China region. The paper analyses urban‐rural interaction in a historical and transnational context. Based on detailed census data collected in 1961 and 1996, this study traces the origins of the Hongkongers and maps out their spatial distribution according to their native place identities. The heightened population movement between the rural hinterland in the South China region and the Hong Kong metropolis is inseparable from territorial organisation on the Chinese mainland. The great spatial mobility demonstrated by the Hongkongers, or, their ‘refugee mentality’ as it is known, is found to be deeply rooted in their marginal sub‐ethnic identity in the nation. A systematic analysis of spatial data reveals that the diasporic landscape developed in Hong Kong has been polarised by the élite English and Shanghainese speakers on the one end and the Kejia people on the other end. Despite the processes of globalisation, the great spatial mobility of the Hong Kong sojourners and the diasporic landscape they have created have been effectively shaped by their place‐based ethno‐linguistic identities. If the transnational movement of people is considered an important component of globalisation, then this study reinforces the importance of locality and contests the fashionable notion of globalisation as a ‘placeless’ phenomenon. The seemingly displaced empire of Chinese diaspora capitalism, in which Hong Kong has played a crucial part, has remained grounded by pre‐existing place‐specific conditions.
Evaluating Chinese Industrial Reforms: SOEs between Output Growth and Profit Decline
Authors: Raiser Martin
Published: March 2003

This paper evaluates Chinese industrial reforms against a background of conflicting evidence for rapid output growth and declining profitability in China's state‐owned enterprises (SOEs). Using enterprise level data for various ownership forms from four coastal cities it is shown that the profitability decline in SOEs has little to do with allocative inefficiency such as excess wage payments. Rather, growing competitive pressures on the domestic market are responsible for the erosion of profit rates in Chinese industry. Industrial reforms that lead to an increase in managerial, autonomy and provide material incentives to workers can be shown to have a positive impact on enterprise profit rates. The overall favourable assessment of industrial reforms in China is qualified by substantial regional differences not covered by the sample data.
Cross‐cultural Psychology
Authors: Triandis Harry C.
Published: March 2003

This article examines some of the limitations of social psychology and shows how they can be remedied by increased attention to cross‐cultural studies. For example, many of the key constructs of the discipline, such as self, conformity, control, intelligence, and well being, are culture bound. The author proposes directions in theory development and methodology that will incorporate cultural syndromes in social psychological theories. Also, the author gives examples of methodologies that can consider simultaneously attributes of the participants (including their culture), attributes of the actors and targets of action (including their culture), attributes of the setting and context of the study, the prior relationships of the actor and target, and the attributes of the behaviors under examination.
Filial Obligations and Expectations in China: Current Views from Young and Old People in Beijing
Authors: Yue Xiaodong , Ng Sik Hung
Published: March 2003

This study examines how 90 university students and 77 old people in Beijing view filial piety in Chinese society now. The results show that old people continue to hold high filial expectations for young people and that young people still endorse strongly filial obligations for old people. Obedience received the lowest rating while respect received the highest rating. “Looking after the aged parents” and “assisting them financially” are the top filial concerns for young males whereas “retaining contact with the elders” is the top filial concern for young females. “Respecting elders but necessarily obeying them” appears to be a new cultural protocol for fulfilling filial obligations in Chinese societies now.
Dialectics between cultural and cross‐cultural psychology
Authors: Triandis Harry C.
Published: March 2003

The attributes of indigenous, cultural, and cross‐cultural psychology are described. Dimensions that contrast these three approaches are examined. They include emphases on emics, etics, or both, context or content of communications, culture inside or outside the person, culture dynamic or static, studying real or artificial situations, meaning is the focus of the research or a barrier to the research, and differences in methodology. The advantages and disadvantages of the three approaches are then examined, and it is concluded that all three approaches should be used in a coordinated fashion and findings common across the three approaches should be emphasized.
The psychology of practice and the practice of the three psychologies
Authors: Shweder Richard A.
Published: March 2003

The keynote speakers at the 2nd Asian Association for Social Psychology Meetings were asked to clarify the relationship among the three scholarly fields known as cultural psychology, indigenous psychology and cross‐cultural psychology. Are they three names for the same thing? If not are they complementary or antagonistic enterprises? Does one approach subsume the other(s) or make the other(s) possible? What follows is my own general view of the “three psychologies” issue. I suggest that cultural psychology and indigenous psychology are kindred approaches, which differ in significant ways from cross‐cultural psychology. A distinction is drawn between the study of “mentalities” (the proper unit of analysis for cultural and indigenous psychology) and the study of “mind” (a non‐cultural phenomenon). Cultural psychology is a type of interpretive analysis of social practice which asks, “what are the `goals, values and pictures of the world' with reference to which this behavior might be seen as rational?” The essay describes the assumption of rationality and the place of cultural critique in interpretive analysis. Is there any significant difference at all between cultural psychology and indigenous psychology? One aim of cultural psychology (“globalizing the local”) is premised on the view that “indigenous psychologies” may have relevance outside their points of origin. How open is the indigenous psychology movement to the idea that (e.g.) a psychology with a “Chinese soul” might illuminate the psychological functioning of members of non‐Chinese populations?
Impact of background characteristics and gender–role attitudes on Chinese perceptions of selection criteria in employment
Authors: Tang Catherine So–kum , Au Winton Wing–tung , Ngo Hang–yue , Pun Suk–han
Published: March 2003

A random sample of 699 (327 men and 372 women) currently employed Chinese subjects participated in a study that examined their perceptions of common selection criteria in employment. Results of factor analysis showed that various selection criteria could be grouped under four underlying factors. In general, participants rated the Psychological Attribute factor as the most important criterion, followed closely by the Experience and Skill factor, and viewed the Physical Attribute and Demographic factors as the least important. Results of hierarchical regression analyses showed that participants’gender–role attitudes, especially those towards men’s and women’s roles in education, marriage and social interactions, were the most salient predictors of their perceptions towards the selection criteria. This remained true even after controlling for participants’ background characteristics. Participants’ gender, age and educational attainment were also predictive of their appraisal of various selection criteria in employment.
Terror management in Japan
Authors: Heine Steven J. , Harihara Motoko , Niiya Yu
Published: March 2003

Do terror management effects generalize to non‐Western cultures? This question is significant because terror management theory offers an explanation of the origin of self‐esteem, whereas other research finds divergent self‐esteem motivations across cultures. The effects of mortality salience (MS) on the dual‐component anxiety buffer were investigated in Japan. A control group and a MS group were given an opportunity: (i) to defend their cultural worldview by derogating an anti‐Japan essay writer; and (ii) to boost their value within their cultures by indicating a greater desire for high‐status over low‐status products. Replicating past research with Western samples, Japanese in a MS condition were more critical of the anti‐Japan essay writer and they indicated a marginal tendency to prefer high‐ over low‐status products, compared with a control group. The theoretical implications are discussed.
Growth with or without Equity? The distributional impact of Indonesian development
Authors: Cameron Lisa
Published: March 2003

This paper surveys articles that have examined and sought to explain the distributional change experienced in Indonesia during the past 30 years of rapid economic development. The literature is critically evaluated, and methodological difficulties and current data limitations are highlighted and point the way for advances in future research.
Applications: Oversampling Through Households or Other Clusters: Comparisons of Methods for Weighting the Oversampled Elements
Authors: Wells J.
Published: March 2003

If a subgroup of a population is of particular interest in a survey, researchers may wish to increase the yield of this special subgroup by oversampling. One procedure for oversampling through households, or other clusters, is to divide the households into two segments: the main sample and the oversample (for which only members of the special group are eligible). Members of the oversampled special group come from both segments. This paper describes three methods for weighting the members of the special group. The household method treats the segments as strata and weights according to the proportion of households in each segment. The yield method uses weights according to the yield of special‐group members in the two segments. The combined probability method provides a Horvitz‐Thompson estimator using the sum of the probabilities that a person will be selected through either segment. Simulations show that the yield method produces estimates with variance lower than those of the household method. The combined probability method appears to be even more efficient. The difference in precision between the methods is small for estimates from the total sample but the household method can be markedly worse than the other two methods for estimates from the oversampled special group (over 40% greater variance in one scenario). Results from a community sample illustrate the comparisons. Because the household method can be much less efficient it should not be used.
Theory & Methods: Generalizations of the δ‐Corrected Kolmogorov‐Smirnov Goodness‐of‐Fit Test
Authors: Feltz Carol J.
Published: March 2003

This paper generalizes the δ‐corrected Kolmogorov–Smirnov (K–S) test into a family of tests, and investigates the behaviour of some of the members of the family, comparing them with the usual K–S test, as well as the δ‐corrected K–S tests suggested by Harter et al. (1984) and Khamis (1990, 1992, 1993). These investigations and power studies suggest which tests are most powerful for which alternative hypotheses.
Theory & Methods: Distance Testing for Selecting the Best Population
Authors: Futschik Andreas , Pflug Georg Ch.
Published: March 2003

Consider testing the null hypothesis that a given population has location parameter greater than or equal to the largest location parameter of k competing populations. This paper generalizes tests proposed by Gupta and Bartholomew by considering tests based on p‐distances from the parameter estimate to the null parameter space. It is shown that all tests are equivalent when k→∞ for a class of distributions that includes the normal and the uniform. The paper proposes the use of adaptive quantiles. Under suitable assumptions the resulting tests are asymptotically equivalent to the uniformly most powerful test for the case that the location parameters of all but one of the populations are known. The increase in power obtained by using adaptive tests is confirmed by a simulation study.
Theory & Methods: A Comparison Of Two Adaptive Sampling Designs
Authors: Brown J. A.
Published: March 2003

Stratified sampling is a technique commonly used for ecological surveys. In this study there appears to be little gain in using a stratified design with adaptive cluster sampling. Two‐phase adaptive sampling is preferable to adaptive cluster sampling. Even though two‐phase adaptive sampling can give biased estimates, it is found that two‐phase adaptive sampling has a lower MSE than adaptive cluster sampling for most populations.
Applications: A Generalized Estimating Equations Approach for Analysis of the Impact of New Technology on a Trawl Fishery
Authors: Bishop Janet , Die David , Wang You‐Gan
Published: March 2003

The article describes a generalized estimating equations approach that was used to investigate the impact of technology on vessel performance in a trawl fishery during 1988–96, while accounting for spatial and temporal correlations in the catch‐effort data. Robust estimation of parameters in the presence of several levels of clustering depended more on the choice of cluster definition than on the choice of correlation structure within the cluster. Models with smaller cluster sizes produced stable results, while models with larger cluster sizes, that may have had complex within‐cluster correlation structures and that had within‐cluster covariates, produced estimates sensitive to the correlation structure. The preferred model arising from this dataset assumed that catches from a vessel were correlated in the same years and the same areas, but independent in different years and areas. The model that assumed catches from a vessel were correlated in all years and areas, equivalent to a random effects term for vessel, produced spurious results. This was an unexpected finding that highlighted the need to adopt a systematic strategy for modelling. The article proposes a modelling strategy of selecting the best cluster definition first, and the working correlation structure (within clusters) second. The article discusses the selection and interpretation of the model in the light of background knowledge of the data and utility of the model, and the potential for this modelling approach to apply in similar statistical situations.
A Partial Likelihood Estimator of Vaccine Efficacy
Authors: Yip Paul S.F. , Chen Qizhi
Published: March 2003

A partial likelihood method is proposed for estimating vaccine efficacy for a general epidemic model. In contrast to the maximum likelihood estimator (MLE) which requires complete observation of the epidemic, the suggested method only requires information on the sequence in which individuals are infected and not the exact infection times. A simulation study shows that the method performs almost as well as the MLE. The method is applied to data on the infectious disease mumps.
Theory & Methods: Inference for the Extended Bifurcating Autoregressive Model for Cell Lineage Studies
Authors: Huggins R.M. , Basawa I.V.
Published: March 2003

Huggins & Basawa (1999) proposed several extensions of the bifurcating autoregressive model used to model cell lineage trees. These models overcame limitations in the original bifurcating autoregressive mode by allowing larger correlations between cousin cells and other cells in the same generation. Huggins & Basawa only considered maximum likelihood inference based on independent trees. This paper examines the asymptotic properties of maximum likelihood estimators based on a single large tree.
A Comparison of Methods for Analysing a Nested Frailty Model to Child Survival in Malawi
Authors: Manda Samuel O.M.
Published: March 2003

Demographic and Health Surveys collect child survival times that are clustered at the family and community levels. It is assumed that each cluster has a specific, unobservable, random frailty that induces an association in the survival times within the cluster. The Cox proportional hazards model, with family and community random frailties acting multiplicatively on the hazard rate, is presented. The estimation of the fixed effect and the association parameters of the modified model is then examined using the Gibbs sampler and the expectation–maximization (EM) algorithm. The methods are compared using child survival data collected in the 1992 Demographic and Health Survey of Malawi. The two methods lead to very similar estimates of fixed effect parameters. However, the estimates of random effect variances from the EM algorithm are smaller than those of the Gibbs sampler. Both estimation methods reveal considerable family variation in the survival of children, and very little variability over the communities.
Economic and Political Logics in the Restructuring of the Australian Domestic Aviation Industry in the 1980s
Authors: Painter Martin
Published: March 2003

What brought about the restructuring of the Australian domestic aviation industry in the 1980s in Australia? Rather than being the product a radical shift in policy, the ‘triumph of economic rationalism’ or the victory of one set of interests over another, it was a case of the decay and dissolution of an inappropriate set of institutional arrangements. Changes in the market and in political forces prompted industry actors to undermine and challenge a prevailing set of government policies and market rules. A variety of commercial, legal, administrative and political arenas were the institutional sites for these events. Policy change and a new set of rules of the game were not so much imposed from above, as registered at the conclusion of events.
Decolonisation after Suez: Retreat or Rationalisation?
Authors: Martel Gordon
Published: March 2003

Did the Suez crisis mark the end of empire in Britain and France, their submission to the political domination of the United States and the beginnings of a ‘new Europe’? Or did it stimulate a rethinking and reformulation of the meaning of empire, its utility and costs? This article argues that the ‘retreat from empire’ was not so much a simple, reflexive response to demands from below but a conscious effort by those from above to find new ways of exploiting the opportunities that the world beyond Europe offered them. Decolonisation, it is argued, is best understood in terms of contemporary business thinking, i.e. a conscious design on the part of managers to ‘downsize’, ‘restructure’, and ‘re‐engineer’ the imperial project. And, as in the corporate world, what might appear to the naked eye as retreat and abandonment may, on closer examination, turn out to be something more ambitious, an attempt to divest the imperial enterprise of unprofitable ventures and to reinvigorate those that are deemed to have untapped potential. After Suez, Britain attempted to demonstrate to the Americans that maintaining their access to middle eastern oil was vital both strategically and economically. They attempted to persuade them that ‘Nasserism’ was second only to communism as a danger to the western alliance, to have them drop their ‘anticolonialist’ rhetoric and to support the Bagdad Pact. In order to combat the anticolonial movement they established a ‘colonial’ bloc at the UN. Assuming that the Suez crisis marked the end of empire has hidden the struggle between Britain and France to redefine its meaning and has concealed the extent to which ambitious designs continued to persist in the contest to determine the future shape of a ‘united’ Europe — a struggle in which neither the British nor the French regarded themselves as pawns of the Americans in the Cold War, but rather one in which they attempted to move the powerful new American piece around the chess board in the middle east, Africa and Asia.
Visiting The Future: Australian (Fellow‐) Travellers in Soviet Russia
Authors: McNair John
Published: March 2003

A significant number of Australian testimonies still awaiting systematic and comprehensive study bear witness to the Soviet journeys of many key figures of the Left and help to define and characterise the successive phases of the encounter between ‘progressive’ Australia and the USSR. The article provides a chronological survey and detailed analysis of the most significant of these accounts from the early 1920s to the late 1960s, including Katharine Susannah Prichard's he Real Russia, Frank Hardy's Journey to the Future and Manning Clark's Meeting Soviet Man. Contextualising these accounts with reference to the contemporary situation in both countries, the paper considers the impact of these perceptions of Russia on Australian political and cultural life.
Personnel Discipline and Industrial Relations on the Railways of Republican China
Authors: Morgan Stephen L.
Published: March 2003

The Chinese National Railways of Republican China (1912‐37) had a personnel administration the equal of any of the major railway systems of the period. Railways require a sophisticated personnel bureaucracy to train, monitor and enforce codes of conduct which would ensure the safety of passengers, freight and the huge investment in rolling stock and fixed capital. Only the military had previously administrative structures approaching the modern railway companies, the first modern business to organise on such a scale large numbers of employees over vast geographic areas. In China the railway introduced not only a new transport technology but also played a major role in creating the new industrial working class through the regimes of work and discipline their administration created. Drawing on neglected railway personnel archives, this paper examines the work organisation and structures of discipline that governed the working day of Chinese railway employees.
A Past: A Revolution in Public Ethics
Authors: Campbell Mac
Published: March 2003

This piece is about those elements of British nineteenth‐century deep culture which have to do with the production of subordination, compliance, and acquiescence. It is about perceptions of deviance. The purpose of this work is to provide some support for a suggestion about attribution of the replacement of the dominant British public ethic concerning treatment of deviance during the nineteenth century (1780‐1914). Until then deviant persons had been, by and large, subject to policies and customs of exclusion and excision. These practices were replaced by new mechanisms of relegation and subordination, arrangements which lent themselves readily to institutionalisation and subsequent centralised control under a rubric of inclusion in humanity. The social, legal, and administrative mechanisms of exclusion increasingly came under attack for their inhumanity, and a climate of favour grew in Britain for a public ethic of inclusion. This principle, once it got hold, asserted into public life the beliefs which ended such practices of exclusion as slavery, public execution, transportation to the colonies, the inhuman treatment of lunatics and the dispatch of “savages”. In order to support the suggestion, it will be necessary to establish that evangelicals placed themselves in the public domain as moral experts, that evangelicals expertly labelled deviant persons and groups, that evangelical publicities and structures energised in the main the revolution in the treatment of deviance without threat to power relations, and that the beginnings of national institutions of labelling are to be found in this revolution of ideas.
The Art of Service v The Science of Measurement: Measuring and Managing Service Delivery
Authors: Waldersee Robert
Published: March 2003

Mantras such as ‘If you can’t measure it you can‘t manage it’ have become standards of management practice. At no point are the logic or assumptions that link measurement to performance questioned. Formal measurement has its place in the broader art of service leadership. But so do the other aspects of assessment, including personal experience of the service, observation, frontline input, customer meetings and a raft of informal monitoring activities. When conducted properly, these other ways of knowing are just as reliable, valid and manageable as any quantitative system. More quantification is not necessarily better. Service leaders must stand back and understand when to use the science of measurement and when to develop the art of management.
Mandate, Independence and Funding: Resolution of a Protracted Struggle Between Parliament and the Executive Over the Powers of the Australian Auditor‐General
Authors: English Linda , Guthrie James
Published: March 2003

This paper examines a political struggle in the Australian federal sphere over parliament's right, exercised through the Office of the Auditor‐General, to oversee the accounts and management practices of the executive and entities created by legislation to deliver public services. The period from the early 1970s witnessed a dramatic shift in the method of delivering government services to the community and an increasing attention to economy, efficiency and effectiveness in their administration and delivery. The Australian government has increasingly used private sector organisational models and modern management and accounting practices to deliver a wide range of services. The rise of these ‘new public management’ practices resulted in an erosion of traditional parliamentary oversight of government management and reporting activities. This historical analysis is based upon Porter's (1981) processual analytical framework. The analysis focuses on the action of groups such as the executive, parliamentary committees and the Office of the Auditor‐General as evidenced in documents produced in response to critical events. Models developed by Funnell and Cooper (1998) are used to characterise the transition of public sector audit from a traditional administrative model to a corporatist model.
Bureaucrats in the Social Policy Process: Administrative Policy Entrepreneurs and the Case of Working Nation
Authors: Howard Cosmo
Published: March 2003

Much of the contemporary literature on Australian social policy tends to focus on broad environmental and institutional variables and to downplay the importance of the social policy decision‐making process and its participants. Yet the study of specific cases in social policy‐making reveals that senior administrators often have a significant impact on the direction of social policy reform. The income support reforms adopted as part of the fomer Federal Labor government's Working Nation package illustrate the potential for bureaucrats to influence the direction of change. Senior administrative officers within the former Commonwealth Department of Social Security played a crucial role in promoting reforms which increased the generosity of the means test on unemployment payments. These bureaucrats behaved as policy entrepreneurs and worked in a strategic manner to garner support for and reduce opposition to their proposals within the decision‐making process.
Using Local Government Corporate Plans in Victoria
Authors: Kloot Louise
Published: March 2003

The Victorian state government has required local governments to publish their corporate plans and this paper explores the information provided by their corporate plans. These plans demonstrate diversity in the form and content, but several themes emerge. First, despite the purpose of corporate plans being to demonstrate accountability to the local community, the lack of performance targets reduces the usefulness of these plans for accountability purposes. It also explores objectives which are of major importance to the sector, such as local economic development, which is an issue difficult to control in the local area, being largely determined by federal and state policy. Other important objectives include financial and asset management together with emphases on the local community and accountability, issues which were the drivers of the state government’s reform agenda. This article assists those who want to enhance the practice of corporate (strategic) planning in local government.
Public Sector Governance — Future Issues for Australia
Authors: Edwards Meredith
Published: March 2003

Governments in many countries today find themselves in unchartered waters as they attempt to redefine their role, including how they relate to the business and community sectors and to citizens more broadly. There is currently a serious questioning of what are the appropriate structures, institutions, processes and organisational relationships required in an environment placing much more emphasis on collaboration with partners within the public sector and also outside it. Globalisation and the increased importance placed on competition, increased use and variety of information technologies and changes in values and political beliefs have contributed to this new environment (for example, see Davis and Keating 2000; Edwards 2001). Alongside this, and particularly noticeable in Australia, is a public sector facing uncertainties as it attempts to adopt private sector governance practices in the belief that this will lead to greater efficiency in achieving outcomes.
Emerging Directions in Public Sector Management in New South Wales
Authors: Kruk Robyn , Bastaja Annette
Published: March 2003

This article describes some of the changes taking place within the NSW public sector to enable it to meet efficiently the future demands of a diverse community. It features a range of major reforms that are under way across legislative, administrative and financial frameworks to enhance the sector’s ability to cope with technological advances and enhance service delivery.
The Values of Life
Authors: Den Hartogh Govert
Published: March 2003

In Life’s Dominion Dworkin aims at defusing the controversy about abortion and euthanasia by redefining its terms. Basically it is not a dispute about the right to life, but about its value. Liberals should grant that human life has not only a personal, but also an intrinsic value; conservatives should accept the principle of toleration which requires to let people decide for themselves about matters of intrinsic value.

Dworkin fails, however, to distinguish between two kinds of personal value:

(1) the value of something to a person, when he actually or dispositionally desires it, or finds it pleasant; and

(2) the value of something to a person, when it ‘objectively’ contributes to his well‐being, as defined by reference to his personal point of view, whether or not he ever perceives it as so contributing.

He also fails to distinguish between two meanings of the concept of ‘intrinsic value’:

(3) ultimate, i.e. non‐instrumental personal value of kind (2);

(4) the impersonal value of something which is not good‐for‐anybody, but simply good, i.e. not a constituent of someone’s well‐being.

Dworkin argues that the human fetus from conception onwards has a value, that it is not a personal value of kind (1), and therefore must be an intrinsic value. But the value of the life of the fetus is not a personal value of kind (2) either and therefore not an intrinsic value of kind (3): it is normally a constituent of the well‐being of the pregnant woman, but that doesn’t constitute its value, and it is not good ‘for’ the fetus itself in the relevant sense, because it doesn’t have a personal point of view. If, however, the fetus’ life is allowed to have an intrinsic value of kind (4), the conservative cannot be refuted by appeal to the principle of toleration, for this only concerns intrinsic value of kind (3). The liberal, indeed, should recognize that the fetus’ life has a value, but it is neither a personal value (1) or (2), nor an impersonal value (4), but rather a relational value which gradually develops from some point substantially later than conception.
Intensive Care Ethics in Evolution
Authors: Hall Katherine
Published: March 2003

The ethics of treating the seriously and critically ill have not been static throughout the ages. Twentieth century medicine has inherited from the nineteenth century a science which places an inappropriate weight on diagnosis over prognosis and management, combined with a seventeenth century duty to prolong life. However other earlier ethical traditions, both Hippocratic and Christian, respected both the limitations of medicine and emphasised the importance of prognosis. This paper outlines some of the historical precedents for the treatment of the critically ill, and also how the current paradigm limits clinical practice and causes ethical tensions. An understanding that other paradigms have been ethically acceptable in the past allows wider consideration and acceptance of alternatives for the future. However future alternatives will also have to address the role of technology, given its importance in this area of medicine.
Consequentialism, Reasons, Value and Justice
Authors: Savulescu Julian
Published: March 2003

Over the past 10 years, John Harris has made important contributions to thinking about distributive justice in health care. In his latest work, Harris controversially argues that clinicians should stop prioritising patients according to prognosis. He argues that the good or benefit of health care is providing each individual with an opportunity to live the best and longest life possible for him or her. I call this thesis, opportunism. For the purpose of distribution of resources in health care, Harris rejects welfarism (the thesis that the good of health care is well‐being) and argues that utilitarianism in general may lead to de facto discrimination against groups of people needing health care. I argue that well‐being is a superior theory of the good of health care to Harris' opportunism. Harris' concerns about utilitarianism can be better addressed by: (i) relating justice more closely to reasons for action; (ii) by conceptualising the relationship between reasons for action and the value of the consequences of those actions as a plateau rather than scalar relationship. Justice can be understood as satisfying as many equally rational claims on resources as possible. The rationality of a person's claim on health resources turns on the strength of that person's reasons to promote certain health‐related states of affairs. I argue that the strength of that reason does not track the expected value of that state of affairs in a fully scalar fashion. Rather a person can have most reason to promote some state of affairs, even though he or she could promote other more valuable states of affairs. Thus there can be equal reason for a distributor of public resources to save either of two people, even though one will have a better and more valuable life. This approach, while addressing many of Harris' concerns about utilitarianism, does not imply that doctors should give up prioritising patients according to prognosis altogether, but it does allow that patients with lower but reasonable prognosis should have a share of public resources.
Female Genital Mutilation and Cosmetic Surgery: Regulating Non‐Therapeutic Body Modification
Authors: Sheldon Sally , Wilkinson Stephen
Published: March 2003

In the UK, female genital mutilation is unlawful, not only when performed on minors, but also when performed on adult women. The aim of our paper is to examine several arguments which have been advanced in support of this ban and to assess whether they are sufficient to justify banning female genital mutilation for competent, consenting women.

We proceed by comparing female genital mutilation, which is banned, with cosmetic surgery, towards which the law has taken a very permissive stance. We then examine the main arguments for the prohibition of the former, assessing in each case both (a) whether the argument succeeds in justifying the ban and, if so, (b) whether a parallel argument would not also support a ban on the latter.

We focus on the following arguments. Female genital mutilation should be unlawful because: (1) no woman could validly consent to it; (2) it is an oppressive and sexist practice; (3) it involves the intentional infliction of injury; (4) it causes offence.

Our view is that arguments (3) and (4) are unsound and that, although arguments (1) and (2) may be sound, they support not only a ban on female genital mutilation, but also one on (some types of) costmetic surgery. Hence, we conclude that the present legal situation in the UK is ethically unsustainable in one of the following ways. Either the ban on female genital mutilation is unjustified because arguments (1) and (2) are not in fact successful; or the law's permissive attitude towards cosmetic surgery is unjustified because arguments (1) and (2) are in fact successful and apply equally to female genital mutilation and (certain forms of) cosmetic surgery.

The people of the countries where female genital mutilation is practised resent references to ‘barbaric practices imposed on women by male‐dominated primitive societies’, especially when they look at the Western world and see women undergoing their own feminization rites intended to increase sexual desirability: medically dangerous forms of cosmetic plastic surgery, for instance …
The Ethics of HIV Research in Developing Nations
Authors: Resnik David B.
Published: March 2003

This paper discusses a dispute concerning the ethics of research on preventing the perinatal transmission of HIV in developing nations. Critics of this research argue that it is unethical because it denies a proven treatment to placebo‐control groups. Since studies conducted in developed nations would not deny this treatment to subjects, the critics maintain that these experiments manifest a double standard for ethical research and that a single standard of ethics should apply to all research on human subjects. Proponents of the research, however, argue that these charges fail to understand the ethical complexities of research in developing nations, and that study designs can vary according to the social, economic, and scientific conditions of research. This essay explores some of the ethical issues raised by this controversial case in order to shed some light on the deeper, meta‐ethical questions. The paper argues that standards of ethical research on human subjects are universal but not absolute: there are some general ethical principles that apply to all cases of human subjects research but the application of these principles must take into account factors inherent in particular situations.
Globalisation or Westernisation? Ethical Concerns in the Whole Bio‐business
Authors: Tangwa Godfrey B.
Published: March 2003

Increasing awareness of the importance of the biodiversity of the whole global biosphere has led to further awareness that the problems which arise in connection with preservation and exploitation of our planet’s biodiversity are best tackled from a global perspective. The ‘Biodiversity Convention’ and the ‘Human Genome Project’ are some of the concrete attempts at such globalisation. But, while these efforts are certainly very good at the intentional level and on paper, there is, at the practical level of implementation, the danger that globalisation may simply translate into westernisation, given the Western world’s dominance and will to dominate the rest of the globe. How is ‘global bioethics’ to be possible in a world inhabited by different cultural groups whose material situation, powers, ideas, experiences and attitudes differ rather markedly and who are not, in any case, equally represented in globalisation efforts and fora? One index of the pertinence of this question is that talk about biodiversity, biotechnology, biotrade etc. is being increasingly matched by talk about biopiracy, biorade, biocolonialism etc. In this paper, I attempt to explore and develop these very general concerns.
Randomised Placebo‐controlled trials and HIV‐infected Pregnant Women in Developing Countries. Ethical Imperialism or Unethical Exploitation
Authors: De Zulueta Paquita
Published: March 2003

The maternal‐fetal HIV transmission trials, conducted in developing countries in the 1990s, undoubtedly generated one of the most intense, high profile controversies in international research ethics. They sparked off a prolonged acrimonious and public debate and deeply divided the scientific community. They also provided an impetus for the revision of the Declaration of Helsinki – the most widely known guideline for international research. In this paper, I provide a brief summary of the context, outline the arguments for and against the controversial use of placebo controls, and focus on particular areas that I believe merit further discussion or clarification. On balance, I argue that the researchers failed in their duties to protect the best interests of their research subjects, and to promote distributive justice. I discuss the difficulties of obtaining valid consent in this research context, and argue that it is unethical to inform women of their HIV status without at least offering them prophylactic treatment for their unborn children. A global view of justice, which endorses international equity, cannot be squared with international research guidelines that allow ‘local conditions’ to define the scope of duty to the control group. Finally, I suggest that the heated debate reflects a tension, if not an outright war, between two conflicting meta‐ethical systems, or incommensurable paradigms, that underpin scientific research involving human subjects.
The Moral Foundation of the Clinical Duties of Care: Needs, Duties and Human Rights
Authors: Doyal Len
Published: March 2003

It has become fashionable to question attempts to derive internationally agreed duties of clinical care from more general theories of human rights. For example, some argue that such attempts risk moral abstraction through their neglect for the importance of culture and community in shaping moral consciousness and are thus often unhelpful in the resolution of concrete moral dilemmas within medicine. Others denounce the importance of general moral principles altogether in bioethics and attempt to articulate what are claimed to be more practical approaches to resolving moral conflict. This paper challenges such arguments.

It does so through arguing that: i) all humans everywhere have the same basic human needs; ii) the satisfaction of these needs varies with culture; iii) the imputation of moral duties on others entails respect for their right to basic need satisfaction, including the right to choose between cultures; iv) internationally accepted clinical duties of care embrace presumptions about the duties and rights of patients which follow from these more general principles and v) problems of moral indeterminacy that arise from putting these principles into practice can be resolved through associated procedural policies of rational negotiation and compromise.

The moral importance and practicality of respect for individual human rights within the practice of medicine is thus defended. Indeed, the paper concludes by arguing that without belief in human rights linked to a theory of basic human needs, communitarian theories of morality are incoherent.
Utilitarianism and the Disabled: Distribution of Resources
Authors: Stein Mark S.
Published: March 2003

Utilitarianism is more convincing than resource egalitarianism or welfare egalitarianism as a theory of how resources should be distributed between disabled people and nondisabled people. Unlike resource egalitarianism, utilitarianism can redistribute resources to the disabled when they would benefit more from those resources than nondisabled people. Unlike welfare egalitarianism, utilitarianism can halt redistribution when the disabled would no longer benefit more than the nondisabled from additional resources.

The author considers one objection to this view: it has been argued, by Sen and others, that there are circumstances under which utilitarianism would unfairly distribute fewer resources to the physically disabled than to nondisabled people, on the ground that the disabled would derive less benefit from those resources. In response, the author claims that critics of utilitarianism have fallaciously exaggerated the circumstances under which the disabled would benefit less than the nondisabled from additional resources. In those limited circumstances in which the disabled really would benefit less from resources, the author argues, it does not seem unfair to distribute fewer resources to them.
Benefiting from ‘Evil’: An Incipient Moral Problem in Human Stem Cell Research
Authors: Green Ronald M.
Published: March 2003

When does benefiting from others’ wrongdoing effectively make one a moral accomplice in their evil deeds? If stem cell research lives up to its therapeutic promise, this question (which has previously cropped up in debates over fetal tissue research or the use of Nazi research data) is likely to become a central one for opponents of embryo destruction. I argue that benefiting from wrongdoing is prima facie morally wrong under any of three conditions: (1) when the wrongdoer is one’s agent; (2) when acceptance of benefit directly encourages the repetition of the wrongful deed (even though no agency relationship is involved); and (3) when acceptance of a benefit legitimates a wrongful practice. I conclude by showing that, because of the ways in which most embryonic stem cell lines come into being, people who oppose embryo destruction may use human embryonic stem cells without incurring moral blame.
The Interface Between the Curriculum and the Code
Authors: Carpenter Barry
Published: March 2003

Barry Carpenter, Director of the Centre for the Study of Special Education, Westminster College, Oxford, highlights the need for a school's curriculum to reflect the requirements of The Code of Practice.
Inclusive Schools for an Inclusive Society
Authors: Thomas Gary
Published: March 2003

Gary Thomas (Professor of Special Needs at The University of the West of England, Bristol) contends that mainstream schools should assume responsibility for all children, not only as there is firm empirical evidence to show that inclusive schools are good for all children, but more importantly because of the legitimacy, the justice and the timeliness of the inclusive position.

Initially he discusses a definition of inclusion and notes how its meaning is different from that of integration, and goes on to examine some of the evidence for the success of inclusion in schools. He then places its success in the context of the values which lead to an espousal of inclusion, considers an inclusive ethic against the more general move to inclusion in society, and sketches out the theoretical and political context.

He concludes by suggesting that the inevitability of the change to inclusion means that administrators should plan constructively for desegregation rather than fighting rearguard actions against it.
The relationship between school culture and IEPs
Authors: Pearson Sue
Published: March 2003

IEPs (Individual Education Plans) are now established practice in most schools although they have remained problematic in some, particularly secondary, schools. Sue Pearson, a lecturer at Leeds University, suggests that the influence of the existing school culture on this innovative practice has received insufficient attention and that the changes in a school may be a demonstration of compliance to external pressures rather than the development of good practice. She describes the way in which the staff of one secondary school capitalised on existing strengths through collaborative working and highlights the implications for both individual students and for the school itself.