The Theory and Practice of “Nudging”: Changing Health Behaviors

Many of the most significant challenges in health care—such as smoking, overeating, and poor adherence to evidence‐based guidelines—will only be resolved if we can influence behavior. The traditional policy tools used when thinking about influencing behavior include legislation, regulation, and information provision. Recently, policy analysts have shown interest in policies that “nudge” people in particular directions, drawing on advances in understanding that behavior is strongly influenced in largely automatic ways by the context within which it is placed. This article considers the theoretical basis for why nudges might work and reviews the evidence in health behavior change. The evidence is structured according to the Mindspace framework for behavior change. The conclusion is that insights from behavioral economics offer powerful policy tools for influencing behavior in health care. This article provides public administration practitioners with an accessible summary of this literature, putting these insights into practical use.     

Truth,justice, and education: towards reconciliation in the former Yugoslavia

Key to the success of peacebuilding and social reconstruction in the former Yugoslavia are the attitudes of these young people. Our goal in this paper is to explore young people’s attitudes about the prospects of reconciliation vis-a-vis those with whom their nations were formerly at war. In particular, we examine three sets of factors. First, we contend that the level of contact among people engendered by the segregated educational systems affects the attitudes of the young about the possibility of reconciliation. We suggest that those who are able to interact more frequently with fellow students from other ethnic groups will be more likely to believe in the possibility of reconciliation. Second, we contend that attitudes of young people about which ethnic groups were responsible for the violence in the former Yugoslavia and the efforts of the international community to bring truth and justice will strongly influence attitudes. Finally, we examine other factors such as education and the influence of gender on reconciliation.     

Beyond the Acronyms: Sport Diplomacy and the Classification of the International Olympic Committee

ABSTRACT

Diplomacy often finds itself reduced to actions centred on states. However, after the Cold War, international relations and diplomacy have expanded with different actors growing into significant roles, particularly in the increase of diplomatic relations in the context of sport. The classification and significance of other actors remains under-researched in relation to sport, with literature focusing more on the growth of new and varying practices of diplomacy. This analysis contends that there is a need to interrogate fundamental components of modern diplomacy—with the actor being the focus—more specifically the classification of sports organisations in diplomacy. It is relevant as a more accurate understanding of sports organisations will contribute to how diplomatic studies can analyse and evaluate modern diplomacy within the context of sport. The International Olympic Committee is the actor used to illustrate how problematic classifications currently in the academic literature translate into weak and reduced analysis and evaluation of its role and significance in diplomacy. As counterpoint, this analysis proposes an analytical framework of socio-legal theory that harnesses legal regulation as a benchmark to classify an actor’s capacity within a society. In consequence, the IOC is as an active and significant contributor to the ever expanding and complex diplomatic environment and wider society.     

“Empowered patient” or “doctor knows best”? Political economy analysis and ownership

Efforts to incorporate “political thinking” into policy-making and practice in OECD-DAC development agencies have increasingly focused on the use of “political economy analysis” (PEA) frameworks and tools. While recognising the fundamental value of promoting politically informed programming, this article nevertheless highlights how contemporary efforts to this end have largely ignored another central development agenda: the ownership paradigm. Emphasising the highly donor-centric nature of PEA design and methodology, we explore critiques and justifications of this state of affairs, ultimately arguing that donors would benefit from embracing a more flexible and context-specific understanding of ownership.     

Justifications for Non-Consensual Medical Intervention: From Infectious Disease Control to Criminal Rehabilitation

A central tenet of medical ethics holds that it is permissible to perform a medical intervention on a competent individual only if that individual has given informed consent to the intervention. Yet it occasionally seems morally permissible to carry out non-consensual medical interventions on competent individuals for the purpose of infectious disease control (IDC). We describe two different moral frameworks that have been invoked in support of non-consensual IDC interventions and identify five desiderata that might be used to guide assessments of the moral permissibility of such interventions on either kind of fundamental justification. We then consider what these desiderata imply for the justifiability of carrying out non-consensual medical interventions that are designed to facilitate rehabilitation amongst serious criminal offenders. We argue that these desiderata suggest that a plausible case can be made in favor of such interventions.     

Short-Term Forces and Partisanship

One of the most intriguing aspects of the debate regarding the persistence of party identification is that proponents of different schools of thought have each managed to use the same quasi-experimental data and similar state of the art techniques to defend their point of view. In this article we argue that this debate cannot be resolved with quasi-experimental data alone and propose another method that we believe can help us triangulate in on the correct answer: experimentation. Two experiments are performed and analyzed. The first tests the hypothesis that party identification is updated in response to the vote choice; the second tests the hypothesis that candidate evaluations influence party choices. The results of our experiments provide some additional support for the traditional conception of partisanship as the unmoved mover of American politics.     

THE ART AND SCIENCE OF CHILD CUSTODY EVALUATIONS

Should a child custody evaluation be a clinical tool informed by forensic methods and procedures or a forensic tool informed by clinical experience? The authors conclude that an evaluation requires a delicate blend of scientific thinking, clinical understanding, through observations, appropriate use of psychological tests, and self‐report measures and information from sufficient collateral sources. Evaluators must pay attention to internal biases and integrate them with the relevant literature. Finally, evaluators must remember that their evaluation and reports will be used by both the courts and the family in reaching a decision on behalf of the children.     

Analogical Reasoning as Translation:: The Pragmatics of Transivity

This paper attempts to examine the underlying structure of analogical reasoning in decision making. The immediate (but not exclusive) context is the form of reasoning commonly seen as prevalent in common-law judicial decision making. Following Wittgenstein and Strawson the paper identifies the problem of the contingency of transitivity ofanalogical relations as a serious impediment to analogical reasoning. It then proceeds to offer a method of translation that delineates the borders of contingency and analyticity of transitivity in such cases, as well as proposeshow these borders may be manipulated. The theoretical insight is to treat analogical relations anaphorically, as ``propredicates'.Accordingly, the translation involves constructive functional transformation from the form of meaning as continuum to the form of meaning as n-chotomies. Greimasian semiotics are then critically applied to examine in what sense ``translation' – in this specific sense – can count as the ``deep structure' of analogical/transitive reasoning, and what sucha claim entails in terms of linguistic ideology. Although the model of translation is formal it is not acontextual, and must be supplemented by importation of constitutive practicalconsiderations (i.e. norms) from concrete decision-making contexts. As such this is a case study of the pragmatic functions offormalization – a conception that may seem alien to some. When determining which states-of-affairs are deemed compatible, the formal model is shown to serve as a framework to what eventually becomes a pragmatic device.