Looking Ahead: Addressing Ethical Challenges in Public Health Practice

Ethical challenges in public health can have a significant impact on the health of communities if they impede efficiencies and best practices. Competing needs for resources and a plurality of values can challenge public health policymakers and practitioners to make fair and effective decisions for their communities. In this paper, the authors offer an analytic framework designed to assist policymakers and practitioners in managing the ethical tensions they face in daily practice. Their framework is built upon the following set of six considerations: determining population-level utility of the proposed action; demonstrating evidence of need and effectiveness of actions; establishing fairness of goals and proposed implementation strategies; ensuring accountability; and, assessing expected efficiencies and costs associated with the proposed action. Together, these considerations create a structured guide to assist decision-makers in identifying potential ethical challenges and in assessing the moral considerations that underlie public health practice - and possibly even, if the conditions are met, reduce the creation of ethical tension. Although the authors'empirical experiences provide the basis for the framework advanced here, their approach remains to be tested and evaluated by public health practitioners.     

Art,Cold War Diplomacy and Commonwealth: Australian and Canadian Art at the Tate Gallery 1962–1964

This article analyses the formation, presentation and reception of two seminal exhibitions: Australian Painting: Colonial, Impressionist, Contemporary (1962–1963) and Canadian Painting 1939–1963 (1964). The presentation of these exhibitions at London’s Tate Gallery reflected the institution’s support for “old dominion” Commonwealth members. The exhibitions also highlight the differing visions of the Canadian and Australian governments concerning the relationship between art, diplomacy and politics during the Cold War. In Canada, Vincent Massey (Governor General 1952–1959) played a key role in ensuring that all forms of Canadian art were promoted internationally. Massey wanted to connect with the European and American avant-garde and to be part of a multiracial Commonwealth. This contrasted with the rather “old-fashioned” views of the Australian prime minister, Robert Menzies, and the Commonwealth Art Advisory Board. They supported a Commonwealth dominated by the “white dominions” and the initial exhibition plan for Australian Painting recalled previous British Empire art shows. The British response to the Canadian and Australian exhibitions is also discussed. British critics preferred the nationally identifiable “exotic” art found in Australian art to the transnational forms of international abstraction in Canadian art. Eventually, Australia “caught up” with Canadian cultural policy following the establishment of the Australia Council.     

“Corporatism With Adjectives”? Conceptualizing Civil Society Incorporation and Indigenous Participation in Latin America

Ethnodevelopment is a relatively new type of participatory policy that targets the poverty of marginalized ethnic groups with a focus on identity and self‐management. While observers have recognized the empirical significance of this new paradigm, little has been done to conceptualize ethnodevelopment. This article argues that national‐level ethnodevelopment implementation is a form of corporatism. Examining ethnodevelopment institutions in Ecuador, it shows that the state has structured, subsidized, and partially controlled the indigenous sector through ethnodevelopment policies and agencies. However, certain components of classical corporatism, such as monopolies of representation, do not characterize this paradigm. This article therefore classifies ethnodevelopment as a diminished subtype of corporatism. It challenges corporatism's long association with a particular historical period in the region and finds that Latin American states and social groups have called on historical institutional repertoires in responding to the newly salient ethnic cleavage in the region.     

The MMPI-2 L scale as a tool in police selection

The MMPI has been used extensively in the selection of law enforcement personnel. Because police officer candidates have been preselected, however, individuals with obvious mental disturbance have been screened out of the candidate pool before evaluation. It is necessary to search for more subtle variables to serve as predictors of unsatisfactory future performance. The L scale is a subtle variable which can suggest potential for problematic behavior. The value of the L scale in the selection process is discussed. Authors' Note: William U. Weiss, Ph.D., is professor of psychology. The University of Evansville, 1800 Lincoln Av., Evansville, IN 47722. Robert Davis, Ph.D., is executive vice-president and director of science, research, and development, for Matrix, Inc., and Cary Rostow, Ph.D., is president of Matrix, Inc., Baton Rouge, LA. Sarah Kinsman was a psychology major at the University of Evansville at the time this research was conducted.     

Neighborhood Conservation: Political Choices Under the Community Development Block Grant Program

Neighborhood conservation is an objective widely espoused byAmerican cities. But movement from advocacy of conservationto allocation of funds for specific neighborhoods involves difficultpolitical choices for local officials who must respond to neighborhoodscompeting for scarce resources. The experience of Rochester,New York, the state's third largest city, closely parallelsthe national experience—shifts away from renewal and clearanceactivities to conservation and rehabilitation of marginal urbanneighborhoods. Over the first six years of the CDBG program,Rochester officials changed from a general, inclusive approachto neighborhood conservation to a more targeted approach. Thesechoices were shaped in response to local economic, demographicand political factors, including a well-organized network ofneighborhood organizations. The article concludes that the Rochesterexperience led to strengthened relationships between neighborhoodassociations and city hall, but evidence of stabilization andrevitalization in assisted city neighborhoods is inconclusive. ^*The author gratefully acknowledges the comments by Paul R.Dommel, Christopher Lindley and Richard P. Nathan on an earlierdraft of this article.