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Ideology obscured. Political uses of the self in Daniel Stern's infant.

Daniel Stern's (1985) respected theory of infant development is critiqued from a social-constructionist perspective in order to demonstrate how decontextualized psychology theories inadvertantly perpetuate the political status quo. Self-invariants in the core-self phase are discussed as reflections of the current configuration of self rather than a discovery of universal elements of human development. The parental attunement response is reinterpreted as a way by which Western interiority and subjectivity are socially constructed. Language as the fundamental cause of alienation and dividedness is disputed. In Stern's theory, universal qualities of the self and the processes of language acquisition are responsible for several psychological ills characteristic of the 20th century. By exonerating political structures as causal factors, decontextualized theories legitimize, justify, and perpetuate current arrangements of power and privilege.

Cultural Characteristics↗

Political intervention in scientific peer review. Research on adolescent sexual behavior.

In 1991, the Secretary of Health and Human Services (HHS) rescinded funding for a survey of adolescent health risk-taking behavior. The decision overturned a series of scientific and ethical peer and administrative reviews of the research, which had been chosen in a competitive evaluation of proposals to advance knowledge about the prevention of acquired immunodeficiency syndrome (AIDS) and other diseases. The cancellation, coupled with congressional action to block similar research, left a gap in scientific data about adolescent health risk-taking. The cancellation may also encourage the further use of political criteria in evaluating proposals for scientific research. Procedures for funding scientific research should be reformed to protect peer review from arbitrary political intervention. Through a discussion of this decision and its consequences for AIDS prevention research, principles that justify autonomous peer review are clarified and a reform that could strengthen it is discussed.

Acquired Immunodeficiency Syndrome↗

Party over policy: The dominating impact of group influence on political beliefs.

Four studies demonstrated both the power of group influence in persuasion and people's blindness to it. Even under conditions of effortful processing, attitudes toward a social policy depended almost exclusively upon the stated position of one's political party. This effect overwhelmed the impact of both the policy's objective content and participants' ideological beliefs (Studies 1-3), and it was driven by a shift in the assumed factual qualities of the policy and in its perceived moral connotations (Study 4). Nevertheless, participants denied having been influenced by their political group, although they believed that other individuals, especially their ideological adversaries, would be so influenced. The underappreciated role of social identity in persuasion is discussed.

Adolescent↗

Political conservatism as motivated social cognition.

Analyzing political conservatism as motivated social cognition integrates theories of personality (authoritarianism, dogmatism-intolerance of ambiguity), epistemic and existential needs (for closure, regulatory focus, terror management), and ideological rationalization (social dominance, system justification). A meta-analysis (88 samples, 12 countries, 22,818 cases) confirms that several psychological variables predict political conservatism: death anxiety (weighted mean r = .50); system instability (.47); dogmatism-intolerance of ambiguity (.34); openness to experience (-.32); uncertainty tolerance (-.27); needs for order, structure, and closure (.26); integrative complexity (-.20); fear of threat and loss (.18); and self-esteem (-.09). The core ideology of conservatism stresses resistance to change and justification of inequality and is motivated by needs that vary situationally and dispositionally to manage uncertainty and threat.

Cognition↗

Psychological motives and political orientation--the left, the right, and the rigid: comment on Jost et al. (2003).

Presenting an impressive model based on a large body of evidence, J. T. Jost, J. Glaser, A.W. Kruglanski, and F. J. Sulloway (2003) proposed that political conservatism uniquely serves epistemic, existential, and ideological needs driven by fears and uncertainties. The authors offer an alternative view based on conceptual considerations, historical events, features of communist ideology and practice, and additional social science research not reviewed by Jost et al. (2003). First, the authors take issue with Jost et al.'s (2003) description of the two core components of political conservatism. Second, they propose that the motives in the model are equally well served by rigid adherence to any extreme ideology regardless of whether it is right wing or left wing.

Choice Behavior↗

Ethics: virtue and politics in the science and practice of psychology.

The discipline of psychology is moving beyond the myth of detached neutrality to discover virtue and to recognize politics as forces which determine ethical behaviour. Humankind has struggled over the centuries to discover the nature of good and evil and to define the rightness and wrongness of human behaviour. Psychology has a short history in formalizing codes of ethics and codes of conduct. Current and historical events, concepts and values, including those based on philosophy and religion, have influenced the development of psychology's scientific and professional codes. The ethical behaviour of psychologists may be inspired by values, regulated by rules, determined by external pressures, or any combination of these. Emerging issues and challenges in today's changing and turbulent society require an incorporation of moral principles in finding acceptable strategies to achieve acceptable goals. May virtue and politics go hand in hand in creating a better world.

Behavioral Research↗

The international union of psychological science and the politics of membership: psychological associations in South Africa and the German Democratic Republic.

This article examines the origins and the development of psychological associations in the German Democratic Republic and the Republic of South Africa and the ways membership in the International Union of Psychological Science (IUPsyS)--founded in 1951--figured in the process. The political regimes in these 2 countries had difficulties of their own in achieving a standing in the international community and, as a result, psychologists faced significant dilemmas in gaining legitimacy for the discipline. Membership in the IUPsyS served an important function in gaining legitimacy for the discipline in both countries, but it also contradicted legitimizing strategies that involved the countries' distinctive political and social structures. Membership in the IUPsyS was sufficiently important for psychologists to try to strike a compromise between different legitimation strategies.

Association↗

Political goals versus scientific truths: a response to Jackson (2003).

Three fundamental issues separate Jackson's (2003) methodological views from mine. One, whereas he believes an absolute moral view can prevail in a democracy, I assume moral pluralism is an inevitable byproduct of an open society. Two, Jackson feels that psychology can identify a correct moral position, whereas I postulate natural science psychology is only capable of revealing the empirical consequences of competing social policies and their moral implications. Three, Jackson espouses a politically active psychology that from my perspective is antithetical to a democratic and scientific ethic. In sum, Jackson's coupling of science with political advocacy will lead to a mistrust of psychology that will deny a democracy the opportunity to base its social policies on reliable psychological information.

History, 20th Century↗

The professional is political: an interpretation of the problem of the past in solution-focused therapy.

This paper proposes that therapists subject their work to radical doubt designed to uncover and interpret the micro-politics that in here in professional knowledge and practice. Using Orlie's notion of trespass, the approach to the past employed by solution-focused therapies is examined. These trespasses involve the therapy's silence about the meaning of injustice; its role in relation to social movements; and its potential to reproduce relations of domination. A new conception of ethics is proposed that takes into account the inevitable presence of the political as it fashions the history that conditions us as human beings.

Ethics, Professional↗

Burnet oration. Politics, personalities and the development of science.

This lecture recounts a story that attempts to trace the history of ideas relating to tissue transplantation from the earliest times through to the present. This story was shaped by the strong Darwinian approach to biology championed by Burnet and Medawar. It also describes the political influence developed from the strong Lamarckian leanings of the communist supporters in the USSR, and the fact that the biological argument between those supporting Lamarck and those supporting Darwin was seen by the Praesidium of the USSR Academy of Sciences to be equated with the ideological class struggle between socialism and capitalism. This story points out that while science is valued for its objectivity, its dependence on personalities adds a subjective element. This subjective element is always present and it colours our science by reflecting both the political and cultural movements of the time.

Allergy and Immunology↗

Human genetic technologies, European governance and the politics of bioethics.

With human genetic technologies now an important area of European research and development, bioethics is becoming increasingly important in its regulation and future. As regulatory decisions are also statements about who should get what, bioethics cannot avoid political controversy. Can bioethics sustain its claimed role as authoritative adviser to decision makers, or will its attempts to reach a consensus on human genetic technologies be perceived as the actions of an ambitious interest group? What, in short, is its political future in Europe and elsewhere?

Bioethics↗

Blood pressure and social support observations from Mamre, South Africa, during social and political transition.

OBJECTIVE: Social support, by moderating cardiovascular reactivity, has been demonstrated to attenuate the effects of stress on blood pressure in American communities. This is the first report to examine the relationship between social support and blood pressure in a South African context, during a period of infrastructure modernisation and political change. METHODS: A total of 1240 residents (542 men, 698 women) of mixed ethnic origin, older than 14 years and stratified by age and sex, participated in a survey to determine risk factors for hypertension and cardiovascular diseases. Social support was assessed by a questionnaire developed in consultation with the community. It was defined by interactions that may threaten family harmony (score 1) and by networking between relatives, friends, colleagues and neighbours (score 2). RESULTS: Mean blood pressure of the sample was 130/79 mm Hg (s.d. 25/14 mm Hg). Hypertension prevalence was 26.9%. Only 36% of women compared to 57.3% of men (P < 0.0001) were employed. More women (29%) than men (22%) reported threats to family harmony, but social support networks were similarly perceived by both sexes. Systolic and diastolic blood pressure correlated weakly with score 1 (r = 0.096, P < 0.0007) but no association was observed with score 2. Score 1 was not associated with blood pressure by multiple regression analysis, that included confounding by age, sex, BMI, alcohol consumption and smoking status. CONCLUSIONS: Neither threats to family harmony nor networking between relatives, friends or neighbours, significantly influences blood pressure in this community. Measures of social support thought to moderate blood pressure may have limited cross-cultural application. Attitudinal changes during socio-political transition may impact on the generalisability of instruments for measurement.

Adolescent↗

Historical and political implications of haemophilia in the Spanish royal family.

The political implications of haemophilia in the marriage of King Alfonso XIII of Spain and Princess Victoria Eugenie Battenberg of England have been reviewed in recent books on history. However, the fact that they had haemophilic sons also affected their personal relationship. In this article, we review the consequences haemophilia bore on their lives. We feel great compassion for families who suffer the illness, be it ordinary people or members of royalty; however, in this case, it can be said that when the disease affected a royal couple, the political consequences were great.

England↗

The political role of illness narratives.

Cultural criticism is used to describe the political role of autobiographical illness narratives or pathographies. In expressing the subjective experience of illness, authors of pathographies illuminate ideological differences between patient and health care cultures, reveal the dominance of health care ideologies, and explicate patients' moral and political claims. The contributions of these literary works to nursing practice provide direction for relational restructuring. Gadow's concept of the relational narrative is proposed as a way to restore patient subjectivity and agency and establish the dialogue necessary for cultural pluralism in nursing and health care.

Anecdotes as Topic↗

Cross-boundary working: a macro-political analysis of the impact on professional roles.

This paper reviews the policy developments impacting on professional roles and boundaries in health and social care. A macro-political analysis is used to offer a challenging critique to many of the assumptions associated with cross-boundary working. It explores issues such as: whether or not new nursing roles are truly being developed to meet need; the myths and realities of interprofessional working; how competence can be assured; the need for new forms of professional regulation; the implications for professional education of initiatives such as national occupational standards and shared learning; planning the future health care workforce; and the need for rigorous and robust evaluation of service and role developments. Through this exploration the likely consequences of political and professional initiatives for both cross-boundary working and the profession of nursing itself are illuminated.

Clinical Competence↗

Campaign contributions from the American Medical Political Action Committee to Members of Congress. For or against the public health?

BACKGROUND: The American Medical Political Action Committee (AMPAC), the political arm of the American Medical Association (AMA), contributed $2.4 million to candidates for Congress during the 1989-1990 campaign and $2.9 million during the 1991-1992 campaign. It is not known whether these funds preferentially benefited representatives who supported the AMA's positions on public health issues. METHODS: We analyzed AMPAC contributions to members of the House of Representatives during the 1989-1990 and 1991-1992 campaigns according to their votes on three health-related issues: the promotion of tobacco exports, the institution of a mandatory waiting period before a handgun purchase, and the so-called gag rule, which limited physicians' speech on abortion in federally funded clinics. For each issue, we determined whether AMPAC had contributed more on average to opponents or to supporters of the official AMA position. RESULTS: AMPAC contributed more on average to opponents of the AMA positions on all three public health issues. From 1989 to 1992, AMPAC gave significantly larger average contributions to House members who favored tobacco-export promotion than to those opposed it ($11,549 vs. $9,842, P = 0.04) and contributed significantly less on average to supporters of handgun control than to their opponents ($9,022 vs. $11,250, P = 0.001). During the same period, AMPAC's contributions revealed a marked preference for House members who supported the gag rule over those who opposed it ($10,961 vs. $9,611, P = 0.05). House members who supported the AMA positions on all three votes received an average of $8,800 from AMPAC from 1989 through 1992, whereas members who opposed all three positions received an average of $13,270 (correlation between the number of votes for AMA positions and AMPAC contributions, -0.21; P < 0.001). CONCLUSIONS: AMPAC's contributions to members of the House of Representatives belie the AMA positions on some important public health issues.

American Medical Association↗

Patents, pills and politics: the Australia-United States Free Trade Agreement and the Pharmaceutical Benefits Scheme.

There is tension between the need of the pharmaceutical innovator for intellectual property protection and the need of society for equitable and affordable access to innovative drugs. The recent Australia-United States Free Trade Agreement provides a nice illustration of this interplay between patents, pills and politics. This article provides a brief history of patent law as applied to pharmaceuticals, describes how the Pharmaceutical Benefits Scheme got caught up in AUSFTA negotiations, analyses the clauses that are likely to impact upon the PBS and describes the political process that reviewed and ultimately amended the AUSFTA.

Australia↗

Social determinants, political contexts and civil society action: a historical perspective on the Commission on Social Determinants of Health.

ISSUES ADDRESSED: To evaluate opportunities for action on social determinants of health (SDH) requires a historical perspective. Plans for addressing SDH should be developed with an awareness of past similar efforts and factors that contributed to their success or failure. METHODS: Review of published historical literature on analysis and action on SDH, in particular from the Latin American social medicine movement. RESULTS: In the period since World War II, global public health has oscillated between a social vision of health and a more individualistic, technological and medicalised model. Action on SDH was central to comprehensive primary health care as promulgated at the 1978 Alma-Ata conference and championed by the movement for 'Health for All by the Year 2000'. Subsequently, commitment to addressing SDH declined under the impact of restrictive interpretations of 'selective primary health care' and the pressure of neo-liberal economic and health policies. CONCLUSIONS: Through its critique of politically naive medical and public health approaches and of neo-liberal ideology, the Latin American social medicine tradition offers important lessons for today's efforts to advance action on SDH. Key lessons concern: (1) the model of praxis, consciously uniting reflection and action for political change; and (2) the importance of civil society and community participation in action on SDH.

Africa↗