The Mutualities of Conscience: Satire, Community, and Individual Agency in Late Medieval and Early Modern England

<p>This study examines the representation of "conscience" in English literature, theology, and political theory from the late fourteenth century to the late seventeenth. In doing so it links up some prominent conceptual history of the term, from Aquinas to Hobbes, with its imaginative life in English narrative. In particular, beginning with William Langland's <italic>Piers Plowman</italic> and moving through texts in the "<italic>Piers Plowman</italic> tradition" and on to John Bunyan's allegories and polemics, I explore what I call the "satiric" dimensions of conscience in an allegorical tradition that spans a long and varied period of reform in England, medieval and early modern. As I argue, conscience in this tradition is linked up with the jolts of irony as with the solidarities of mutual recognition. Indeed, the ironies of conscience depend precisely on settled dispositions, shared practices, common moral sources and intellectual traditions, and relationships across time. As such, far from simply being a form of individualist self-assurance, conscience presupposes and advocates a social body, a vision of communal life. Accordingly, this study tracks continuities and transformations in the imagined communities in which the judgment that is conscience is articulated, and so too in the capacities of prominent medieval literary forms to go on speaking for others in the face of dramatic cultural upheaval.</p><p>After an introductory essay that examines the relationship between conscience, irony, and literary form, I set out in chapter one with a study of Langland's <italic>Piers Plowman</italic> (ca. 1388 in its final version), an ambitious, highly dialectical poem that gives a figure called Conscience a central role in its account of church and society in late medieval England. While Langland draws deeply on scholastic accounts of <italic>conscientia</italic>--an act of practical reason, as Aquinas says, that is binding as your best judgment and yet vexing in its capacity for error and need for formation in the virtues--he dramatizes error in terms of imagined practice, pressing the limits of theory. A long, recursive meditation on how one's socially embodied life constitutes distinctive forms of both blindness and vision, Langland's poem searches out the forms of recognition and mutuality that he takes a truth-seeking irony of conscience to require in his contemporary moment. My reading sets the figure of Conscience in <italic>Piers Plowman</italic> alongside the figure of Holy Church to explore some of these themes, and so also to address why the beginning of Langland's poem matters for its ending. In chapter two I turn to an anonymous early fifteenth-century poem of political complaint called <italic>Mum and the Sothsegger</italic> (ca. 1409) that was written in response to new legislation introducing capital punishment for heresy in England. In Mum I show how an early "<italic>Piers Plowman</italic> tradition" gets taken up into a rhetoric of royal counsel and so subtly, but decisively, revises aspects of Langland's political and ecclesial vision. In a final chapter moving across several of John Bunyan's works from the 1670s and 1680s, I show how Bunyan conceptualizes coercion in terms of the state and the market, and so defends a "liberty" of conscience that resists both Hobbesian assimilations of moral judgment to the legal structures of territorial sovereignty and an emergent market nominalism, in which exchange value trumps all moral reflection. In part two of Bunyan's The Pilgrim's Progress, Bunyan draws surprisingly on medieval sources to display the forms of mutuality that he thinks are required to resist "consent" to such unjust forms of coercion.</p>Dissertatio

Web‐based Weight Management Programs in an Integrated Health Care Setting: A Randomized, Controlled Trial

Objective : To assess the efficacy of a Web‐based tailored behavioral weight management program compared with Web‐based information‐only weight management materials. Research Methods and Procedures : Participants, 2862 eligible overweight and obese (BMI = 27 to 40 kg/m 2 ) members from four regions of Kaiser Permanente's integrated health care delivery system, were randomized to receive either a tailored expert system or information‐only Web‐based weight management materials. Weight change and program satisfaction were assessed by self‐report through an Internet‐based survey at 3‐ and 6‐month follow‐up periods. Results : Significantly greater weight loss at follow‐up was found among participants assigned to the tailored expert system than among those assigned to the information‐only condition. Subjects in the tailored expert system lost a mean of 3 ± 0.3% of their baseline weight, whereas subjects in the information‐only condition lost a mean of 1.2 ± 0.4% ( p < 0.0004). Participants were also more likely to report that the tailored expert system was personally relevant, helpful, and easy to understand. Notably, 36% of enrollees were African‐American, with enrollment rates higher than the general proportion of African Americans in any of the study regions. Discussion : The results of this large, randomized control trial show the potential benefit of the Web‐based tailored expert system for weight management compared with a Web‐based information‐only weight management program.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/93691/1/oby.2006.34.pd

Technical Description of the Distribute Project: A Community-based Syndromic Surveillance System Implementation

This paper describes the design of a syndromic surveillance system implemented for community-based monitoring of influenza-like illness. The system began as a collaboration between colleagues from state and large metropolitan area health jurisdictions, academic institutions, and the non-profit, International Society for Disease Surveillance. Over the six influenza seasons from 2006 to 2012, the system was automated and enhanced, with new features and infrastructure, and the resulting, reliable, enterprise grade system supported peer comparisons between 44 state and local public health jurisdictions who voluntarily contributed summarized data on influenza-like illness and gastrointestinal syndromes. The system was unusual in that it addressed the needs of a widely distributed, voluntary, community engaged in real-time data integration to support operational public health.Keywords: syndromic surveillance, secondary use of health data, Internet, public health standards, surveillance practic