John Locke on Obligation: Sensation, Reflection, and the Natural Duty to Consent

DISSERTATION ABSTRACT: John Locke on Obligation: Sensation, Reflection, and the Natural Duty to Consent By Emily Marie Crookston Doctor of Philosophy in Philosophy Washington University in St. Louis, 2009 Professor Larry May, Chairperson Locke\u27s theories of moral and political obligation are instructive both in their successes and in their failures. Writing during a time in which previous assumptions were being widely challenged, Locke judiciously accepts the wisdom of his predecessors as a firm foundation upon which to build his own arguments. Of course, Locke also was not immune to criticism. On the moral obligation side, Locke faces the charge of internal inconsistency: his theory of natural law cannot meet the standards set by his naturalist empiricism. On the political obligation side, critics complain that consent theory is descriptively inadequate: if citizens could consent to their governments, then they would be morally bound. The problem is that most citizens have never consented. So two of Locke\u27s crucial arguments seem to be in trouble. In my dissertation, I take another look at these criticisms. First, I argue that though Locke\u27s natural law theory is too vague to count as a decisive theory of moral obligation, he could enrich his account using features of a Kantian approach in order to develop a coherent and internally consistent theory of moral obligation. In the second half of the dissertation, I build upon this comprehensive theory of moral obligation in order to argue for a more charitable interpretation of Locke\u27s theory of political obligation. According to my view, although consent is necessary and sufficient for political obligation, there are nonetheless universal moral constraints upon the individual choice to consent. Thus, though it is true that individuals are bound to obey only those political institutions to which they have consented, there is a natural moral duty to consent when certain conditions are met. If I am correct, Locke comes closer to having a unified theory of obligation than most scholars give him credit for. By developing a credible theory of moral obligation, which Locke can then use to defend himself against critics of his consent theory of political obligation, I provide Locke with the tools to save both projects

Love and (Polygamous) Marriage? A Liberal Case Against Polygamy

Opponents of same-sex marriage suggest that legalizing same-sex marriage will start a slide down the "slippery-slope" leading to the legalization of all kinds of salacious family arrangements including polygamy. In this paper, I argue that because previous attempts by liberal political theorists to combat such slippery-slope arguments have been unsuccessful, there are two options left open to political liberals. Either one could embrace polygamy as a logically consistent implication of extending civil liberties to same-sex couples or one could find a new strategy for blocking the slide down the slope. I take the second option arguing that we ought to devise a harm principle for domestic partnerships. Once this principle has been established, it becomes clear that the risk of exploitation for those potentially occupying the multiple side of the marriage is sufficient reason to reject polygamous marriage arrangements. I conclude that, contrary to appearances, holding both (a) same-sex marriage is permissible and (b) polygamous marriage is impermissible is at the same time consistent and consistently liberal

Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania

Background: Diarrhea remains a major cause of morbidity and mortality among children in Tanzania. The purpose of this study was to explore associations between diarrheal disease and water, sanitation, and hygiene (WASH) related behaviors and determine care-seeking predictors for diarrheal disease. Methods: Data from 9996 female primary caregivers were collected as part of a larger integrated nutrition program. Logistic regression was used to measure associations between predictor and dependent variables and diarrheal and care-seeking outcomes. Results: Knowledge of the importance of handwashing after assisting a child who has defecated (OR 0.79, CI 0.72–0.87), before preparing food (OR 0.88, CI 0.80–0.97), and before feeding a child (OR 0.89, CI 0.81–0.99) were each associated with not having a child with diarrhea in the past two weeks. Fathers or male caregivers (OR 0.65, CI 0.48–0.89) were less likely to seek medical care for a child with diarrhea. No associations were found between WASH-related knowledge or behavior and seeking medical care for a child with diarrhea. Conclusions: Findings indicate that knowledge of handwashing importance was significant in washing hands after assisting a child who has defecated, before preparing food, and prior to feeding a child. These findings demonstrate the value of parental involvement to lower morbidity and mortality among children

Maternal Employment Status and Minimum Meal Frequency in Children 6-23 Months in Tanzania

As women in developing world settings gain access to formal work sectors, it is important to understand how such changes might influence child nutrition. The purpose of this paper is to examine the relationship between maternal employment status and minimum meal frequency (MMF) among children in Tanzania. Interviews were conducted with 5000 mothers of children ages 0–23 months. The questionnaire used in these interviews was developed by adopting questions from Tanzania’s latest Demographic and Health Survey (2015–2016) where possible and creating additional questions needed for programmatic baseline measurements. MMF was used as proxy for child nutrition. Logistic regression analyses were used to identify associations between employment status and parenting practices of Tanzanian mothers and MMF of their children. After adjusting for confounders, informal maternal employment [OR = 0.58], lack of financial autonomy [OR = 0.57] and bringing the child with them when working away from home [OR = 0.59] were negatively associated with meeting MMF. Payment in cash [OR = 1.89], carrying food for the child [OR = 1.34] and leaving food at home for the child [OR = 2.52] were positively associated with meeting MMF. Informal maternal employment was found to be negatively associated with meeting MMF among Tanzanian children. However, behaviors such as bringing or leaving prepared food, fiscal autonomy and payment in cash showed significant positive associations. These findings could help direct future programs to reduce child stunting

Malnutrition and Its Determinants Are Associated with Suboptimal Cognitive, Communication, and Motor Development in Tanzanian Children

© 2015 American Society for Nutrition. Background: A large volume of literature has shown negative associations between stunting and child development; however, there is limited evidence for associations with milder forms of linear growth faltering and determinants of malnutrition in developing countries. Objective: The objective of this study was to assess the association between anthropometric growth indicators across their distribution and determinants of malnutrition with development of Tanzanian children. Methods: We used the Bayley Scales of Infant Development III to assess a cohort of 1036 Tanzanian children between 18 and 36 mo of age who were previously enrolled in a neonatal vitamin A trial. Linear regression models were used to assess standardized mean differences in child development for anthropometry z scores, along with pregnancy, delivery, and early childhood factors. Results: Height-for-age z score (HAZ) was linearly associated with cognitive, communication, and motor development z scores across the observed range in this population (all P values for linear relation \u3c 0.05). Each unit increase in HAZ was associated with +0.09 (95% CI: 0.05, 0.13), +0.10 (95% CI: 0.07, 0.14), and +0.13 (95% CI: 0.09, 0.16) higher cognitive, communication, and motor development z scores, respectively. The relation of weight-for-height z score (WHZ) was nonlinear with only wasted children (WHZ \u3c -2) experiencing deficits (P values for nonlinear relation \u3c 0.05). Wasted children had -0.63 (95% CI: -0.97, -0.29), -0.32 (95% CI: -0.64, 0.01), and -0.54 (95% CI: -0.86, -0.23) z score deficits in cognitive, communication, and motor development z scores, respectively, relative to nonwasted children. Maternal stature and flush toilet use were associated with higher cognitive and motor z scores, whereas being born small for gestational age (SGA) was associated with a -0.16 (95% CI: -0.30, -0.01) z score deficit in cognition. Conclusions: Mild to severe chronic malnutrition was associated with increasing developmental deficits in Tanzanian children, whereas only wasted children exhibited developmental delays during acute malnutrition. Interventions to reduce SGA, improve sanitation, and increase maternal stature may have positive effects on child development. This trial was registered with the Australian New Zealand Clinical Trials Registry as ACTRN12610000636055