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Collective action and psychological change: the emergence of new social identities.

The study comprises an analysis of processes of psychological change among participants at an environmental protest. A participant observation study found evidence of a radicalized self concept among a number of crowd members, and indicates a link between radicalization, an asymmetry of categorical representations between protesters and the police, and the subsequent interaction premised on these divergent representations. The analysis supports an elaborated social identity model of crowd behaviour (Reicher, 1996, 1997a, 1997b; Stott & Reicher, 1998). It is argued that, in order to account for both social determination and social change in collective behaviour, it is necessary to analyse crowd events as developing interactions between groups. Where crowd members hold a different understanding of their social position to that held by an out-group (e.g. the police) and where the out-group has the power to treat crowd members in terms of its understandings, then those members who act on the basis of one understanding of their social relations find themselves in an unexpected and novel set of social relations. This then provides the basis for a series of changes, including the self-understanding of crowd members.

Adaptation, Psychological↗

Justice and the regulation of social relations: when and why do group members deny claims to social goods?

When do group members withhold monetary resources, abandon procedural protections, and deny fair and respectful treatment to potential claimants? Two experiments investigated the conditions that influence judgments about others' entitlement to these three social goods. Past research suggests that exchange concerns underlie entitlement judgments such that an instrumentally beneficial relationship will promote greater support for claims to social goods. Drawing from group-value theory (Lind & Tyler, 1988), an alternative hypothesis is proposed which suggests that entitlement judgments are motivated by concerns about preserving the core norms and values that comprise the group's identity. The findings support the group-value hypothesis that discrimination in entitlement judgments is motivated by social identity concerns. Furthermore, this tendency to discriminate against those who challenge the group's core norms and values is moderated by the nature of the social good. The effect is strongest with regard to judgments about economic goods (money) and is attenuated with regard to judgments about procedural goods (procedural protection) and especially relational goods (fair and respectful treatment). It is suggested that the level of discrimination exhibited in the domain of procedural and relational goods is kept in check by culturally rooted beliefs that these social goods should be distributed according to egalitarian principles.

Analysis of Variance↗

Combining classificatory and discursive methods: consistency and variability in responses to the threat of crime.

This paper explores the implications for social psychology of an integration of classificatory and discursive methodologies through quantitative and qualitative analysis of responses to questions about the threat of violent crime. A total of 133 adults completed a set of standard questions followed by open-ended prompts enabling elaboration on their responses. Cluster analysis of a set of fear of crime measures distinguished four groups of respondents. Interview transcripts were analysed to identify discourses around crime deployed within each cluster in order to justify risk/anxiety judgments. Four participant positions emerge: the well-protected position, the vigilant position, the tactical risk manager and the besieged position. Further analysis of inconsistency and variability within interviews reveals the interactional discursive processes involved in the construction of criminal threat. Despite the diversity of participant positions available in constructing criminal threat and managing anxiety, discourses revolve centrally around issues of agency and uncontrollability.

Adolescent↗

Reflections on unethical experiments and the beginnings of bioethics in the United States.

The author offers personal reflections on the development of research ethics in the United States, primarily during the 1960s. He explores the efforts of the pioneers in the field of human experimentation ethics to raise and discuss issues such as the value conflict between the acquisition of knowledge and respect for the autonomy of research subjects and the crucial importance of disclosure in the informed consent process.

Bioethics↗

Social justice, federal paternalism, and feminism: breast implants in the cultural context of female beauty.

In April 1992 the Food and Drug Administration (FDA) announced it was restricting the availability of silicone gel-filled breast implants to women enrolled in clinical trials. All candidates for breast reconstruction, but only a "very limited" number of augmentation candidates, would have access to the implants. This policy has been criticized as paternalistic, sexist, and unjustified by scientific data. I examine these charges and conclude that controversy surrounding the scientific data weakens the FDA's paternalistic mandate and that its policy of treating reconstruction and augmentation candidates differently results in increased social injustice and perpetuates cultural biases concerning female beauty and women's rights to control their bodies. I also argue that these cultural biases shape women's subjective experience of their physical selves and should not, contrary to some feminist arguments, be viewed as precluding their giving informed consent to breast surgery.

Breast Implants↗

Feminist bioethics: toward developing a "feminist" answer to the surrogate motherhood question.

Although a wide variety of feminist approaches to bioethics presently share a common feminist methodology (sometimes referred to as "raising the woman question"), they do not all share the same feminist politics, ontology, epistemology, and ethics. As a result of their philosophical differences, feminist bioethicists do not always agree on which biomedical principles, practices, and policies are best suited to serving women's interests. In other words, some feminist bioethicists insist that so-called "assisted reproduction" enhances women's procreative liberty, while others claim that it does nothing of the sort. Although such disagreement among feminist bioethicists reassures the general public that the feminist "program" for bioethics is not ideologically monolithic, it also confuses the public, especially women. In order to overcome this confusion, feminist bioethicists should work toward developing the kind of shared theoretical base that will foster frequent consensus on the biomedical principles, practices, and policies most likely to serve the interests of most women in the U.S. today.

Bioethical Issues↗

Revising the history of Cold War research ethics.

President Clinton's charge to the Advisory Committee on Human Radiation Experiments included the identification of ethical and legal standards for evaluating government-sponsored radiation experiments conducted during the Cold War. In this paper, we review the traditional account of the history of American research ethics, and then highlight and explain the significance of a number of the Committee's historical findings as they relate to this account. These findings include both the national defense establishment's struggles with legal and insurance issues concerning human experiments, and the medical profession's perspective on human experimentation in the years following the Nuremberg Medical Trials. We conclude that the Committee's work both enriches the traditional view of the history of research ethics and opens important new areas for study.

Advisory Committees↗

Are research subjects adequately protected? A review and discussion of studies conducted by the Advisory Committee on Human Radiation Experiments.

In light of information uncovered about human radiation experiments conducted during the Cold War, an important charge for the Advisory Committee on Human Radiation Experiments was to assess the current state of protections for human research subjects. This assessment was designed to enhance the Committee's ability to make informed recommendations for the improvement of future policies and practices for the protection of research subjects. The Committee's examination of current protections revealed great improvement over those from the past, yet some problems remain. Although the data collected by the Committee highlight specific areas in need of attention, the Committee's work should be viewed in part as the beginning of a series of ongoing assessments of the adequacy and effectiveness of the protections afforded to human subjects.

Advisory Committees↗

Conscience and conscientious actions in the context of MCOs.

Managed care organizations can produce conflicts of obligation and conflicts of interest that may lead to problems of conscience for health care professionals. This paper provides a basis for understanding the notions of conscience and conscientious objection and offers a framework for clinicians to stake out positions grounded in personal conscience as a way for them to respond to unacceptable pressures from managers to limit services.

Complicity↗

State regulation of managed care: fragments of reform.

State legislatures consider numerous bills to regulate managed care organizations. After identifying the legal, political, and economic barriers to state reform efforts, the paper assesses recent types of state regulation, particularly mandated benefits and disclosure requirements. Two prerequisites to future reform, coalition building and the diffusion of information about managed care, are analyzed.

Disclosure↗

A theory of international bioethics: the negotiable and the non-negotiable.

The preceding article in this issue of the Kennedy Institute of Ethics Journal presents the argument that "moral fundamentalism," the position that international bioethics rests on "basic" or "fundamental" moral prinicples that are universally accepted in all eras and cultures, collapses under a variety of multicultural and postmodern critiques. The present article looks to the contractarian tradition of Hobbes and Locke -- as reinterpreted by David Gauthier, Robert Nozick, and John Rawls -- for an alternative justification for international bioethics. Drawing on the central themes of this tradition, it is argued that international bioethics can be rationally reconstructed as a negotiated moral order that respects culturally and individually defined areas of nonnegotiability. Further, the theory of a negotiated moral order is consistent with traditional ideals about human rights, is flexible enough to absorb the genuine insights of multiculturalism and postmodernism, and yet is strong enough to justify transcultural and transtemporal moral judgments, including the condemnation of the Nazi doctors at Nuremberg. This theory also is consistent with the history of the ethics of human subjects experimentation and offers insights into current controversies such as the controversy over changing the consent rule for experiments in emergency medicine and the controversy over exempting certain clinical trials of inexpensive treatments for preventing the perinatal transmission of AIDS from the ethical standards of the sponsoring country.

Bioethics↗

When should "riskier" subjects be excluded from research participation?

The exclusion of potential subjects based on increased risks is a common practice in human subjects research. However, there are no guidelines to ensure that this practice is conducted in a systematic and fair way. This gap in the literature and regulation is addressed by a specific account of a "condition on inclusion risks" (CIR), a condition under which potential subjects should be excluded from research on the basis of increased risks. This account provides a general framework for assessing standard exclusions as well as more controversial ones such as the exclusion of pregnant women and women of childbearing potential from certain types of research.

Age Factors↗

Ethics and policy in embryonic stem cell research.

Embryonic stem cells, which have the potential to save many lives, must be recovered from aborted fetuses or live embyros. Although tissue from aborted fetuses can be used without moral complicity in the underlying abortion, obtaining stem cells from embryos necessarily kills them, thus raising difficult questions about the use of embryonic human material to save others. This article draws on previous controversies over embryo research and distinctions between intrinsic and symbolic moral status to analyze these issues. It argues that stem cell research with spare embryos produced during infertility treatment, or even embryos created specifically for research or therapeutic purposes, is ethically acceptable and should receive federal funding.

Aborted Fetus↗