Culture Governance: Governing Self‐Reflexive Modernity

Political and administrative analysis is today said to be taking a narrative turn: to learning by telling and listening to the different stories that constitute political life. However, this new approach to studying the decentring of politics and policy as multiple discursive practices carries a new grand narrative too. A new connection between political authority and political community is taking shape outside the spheres of modern government and representative democracy. Political authority is becoming increasingly both communicative and interactive in order for it to be able to meet complexity with complexity. It is employed for reforming institutions by opening them towards the culture and by tying them to the political attributes and capacities of self‐reflexive individuals and to the transformation and self‐transformation of their conduct. I call this development culture governance. Culture governance is about how political authority must increasingly operate through capacities for self‐and co‐governance and therefore needs to act upon, reform, and utilize individual and collective conduct so that it might be amenable to its rule (Bang 2003; Dean 2003). Culture governance represents a new kind of top‐down steering; it is neither hierarchical nor bureaucratic but empowering and self‐disciplining. It manifests itself as various forms of joined‐up government and network governance and proclaims itself to be genuinely democratic and dialogical. This I shall show by a study of local Danish politics and policy in Copenhagen. Culture governance, I shall argue, constitutes a formidable challenge and threat to democracy, in attempting to colonize the whole field of public reason, everyday political engagement, democratic deliberation, and so on, by its own systems logic of success, effectiveness or influence. It seeks to take charge of the working of the more spontaneous, less programmed and more lowly organized politics of the ordinary in political communities, thus undermining the very idea of a non‐strategic public reasoning as founding the practices of freedoms.     

Human Identification via Lateral Patella Radiographs: A Validation Study,

This research examines the utility of patella outline shape for matching 3D scans of patellae to knee radiographs using elliptical Fourier analysis and subjective methods of human visual comparison of patellae across radiographs for identification purposes. Repeat radiographs were captured of cadaver's knees for visual comparison before patellae were extracted and skeletonized for quantitative comparisons. Quantitative methods provided significant narrowing down of the candidate pool to just a few potential matches (<5% of original sample), while the human analysts showed high capacity for correctly matching radiographs, irrespective of educational level (positive predictive value = 99.8%). The successful computerized matching based on a single quantified patella trait (outline shape) helps explain the potency achieved by subjective visual examination. This work adds to a growing body of studies demonstrating the value of single isolated infracranial bones for human identification via radiographic comparison.     

Commode Cardia—Death by Valsalva Maneuver: A Case Series

The Valsalva maneuver is used in clinical medicine for the diagnosis and/or treatment of various cardiovascular conditions. It can also be used in activities of daily living, such as defecation. Due to the cardiovascular effects produced during the Valsalva maneuver, it may be contraindicated in certain medical conditions and could be a trigger of sudden cardiac death. The incidence and prevalence of death following Valsalva maneuver in the presence of underlying cardiovascular disease, or “commode cardia,” has not been examined. In 2012, the Wayne County Medical Examiner's Office (Detroit, MI) investigated 21 deaths that occurred on the toilet, fourteen of which were due to cardiovascular disease. In another 31 deaths in the bathroom due to cardiovascular disease, the possibility that the decedent defecated immediately prior to death could not be excluded. Hence, the incidence of commode cardia in this population ranges from 2.3 to 7.4% of all cardiovascular‐related deaths.     

Visualizing emotion and seeing change in science fiction manga: political potential in the expression of emotion in 7 Billion Needles

This article analyzes the science fiction (SF) manga 7 Billion Needles in order to show how an overt visual and narrative emphasis on character emotions and psychology can contribute to science fiction's political potential by emphasizing the similarities between dialogue as a form of emotional therapy and the act of exploring alternative environments. This article also demonstrates how science fiction manga provides a template by which character emotion can become so integrated into the SF narratives and worlds that emotion itself becomes ‘science fictional’.     

Quantification of Perspective‐Induced Shape Change of Clavicles at Radiography and 3D Scanning to Assist Human Identification

Change in perspective between antemortem and postmortem imaging sessions (radiograph to radiograph and surface scan to radiograph) may cause different 2D renderings of the same osseous element complicating comparisons for identification. In this study, clavicle shape changes due to radiographic positioning and 3D laser scanning were examined in 20 right‐side specimens, as pertinent to chest radiograph comparisons. Results indicate substantial changes in clavicle form with short source‐to‐image receptor distance, elevation of the element from the image receptor, and movement of the element away from the center beam (10% mean square for shape). Although quantitative shape differences were small when the clavicle was in close opposition to the image receptor (3% mean square), important qualitative differences remained with large distances from the center beam (e.g., conoid tubercle presence/absence). The significance of these results for image superimposition and computer‐automated‐shape‐based searches of radiographic libraries to find matching candidates is discussed.     

When benefitting a patient increases the risk for harm for third persons — The case of treating pedophilic Parkinsonian patients with deep brain stimulation

This paper investigates the question whether it is ethically justified to treat Parkinsonian patients with known or suspected pedophilia with deep brain stimulation — given increasing evidence that this treatment might cause impulse control disorders, disinhibition, and hypersexuality. This specific question is not as exotic as it looks at a first glance. First, the same issue is raised for all other types of sexual orientation or behavior which imply a high risk for harming other persons, e.g. sexual sadism. Second, there are also several (psychotropic) drugs as well as legal and illegal leisure drugs which bear severe risks for other persons. We show that Beauchamp and Childress' biomedical ethics fails to derive a veto against medical interventions which produce risks for third persons by making the patients dangerous to others. Therefore, our case discussion reveals a blind spot of the ethics of principles. Although the first intuition might be to forbid the application of deep brain stimulation to pedophilic patients, we argue against such a simple way out, since in some patients the reduction of dopaminergic drugs allowed by deep brain stimulation of the nucleus subthalamicus improves impulsive control disorders, including hypersexuality. Therefore, we propose a strategy consisting of three steps: (1) risk assessment, (2) shared decision-making, and (3) risk management and safeguards.     

Patronage,Service Delivery,and Social Justice in Indonesia

This article examines how patronage networks operate in subnational governments in Indonesia paying particular attention to how they have affected human resource management (HRM) practices in education and health services. Corrupt practices were found in varying degrees in all the provincial public services studied. They were associated with patronage systems and involved illegal payments for entrance exam results, recruitment and selection, placement, promotion, and transfer. These practices had an adverse effect on the quantity and quality of service delivery and represented a challenge to social justice.

This article is related to the special issue “Contemporary Challenges for Public Sector Human Resource Management” of the International Journal of Public Administration, Volume 35, Issue 8, 2012.     

Insurgents,accidental guerrillas and valley-ism: an oral history of oppositional US soldiers' attitudes toward the enemy in Afghanistan

In recent years Western policy towards Afghanistan has been marked by inconsistencies and errors. This article explores United States (US) soldiers' perceptions of the enemy in Afghanistan based on oral history interviews with dissenting combat soldiers who served in the Afghan theatre. By foregrounding soldiers' attitudes towards the enemy, this study includes marginalized voices, often overlooked, that challenge prevailing misconceptions. General David Petraeus, the former commander of US forces in Afghanistan, has argued that significant battlefield decisions are not reserved for generals alone. Petraeus' counterinsurgency programme promotes ‘strategic corporals’ whose decisions hold important consequences. If strategic corporals are involved in military decision-making, it follows that their interpretation of the conflict may also hold strategic implications for the researcher. Soldiers' views of war are not the final, authoritative verdict. However, this article suggests that these strategic corporals should be included in a complex matrix of interpretation to broaden US understanding of the enemy.