Global health equity and self-preservation - but only at a price

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Well-being and consumer culture: a different kind of public health problem?

The concept of well-being is now of interest to many disciplines;as a consequence, it presents an increasingly complex and contested territory. We suggest that much current thinking about well-being can be summarized in terms of four main discourses: scientific, popular, critical and environmental. Exponents of the scientific discourse argue that subjective well-being is now static or declining in developed countries: a paradox for economists, as incomes have grown considerably. Psychological observations on the loss of subjective well-being have also entered popular awareness, in simplified form, and conceptions of well-being as happiness are now influencing contemporary political debate and policy-making. These views have not escaped criticism. Philosophers understand well-being as part of a flourishing human life, not just happiness. Some social theorists critique the export of specific cultural concepts of well-being as human universals. Others view well-being as a potentially divisive construct that may contribute to maintaining social inequalities. Environmentalists argue that socio-cultural patterns of over-consumption, within the neo-liberal economies of developed societies, present an impending ecological threat to individual, social and global wellbeing. As the four discourses carry different implications for action, we conclude by considering their varied utility and applicability for health promotion

The complex territory of well-being: contestable evidence, contentious theories and speculative conclusions

This paper brings together evidence and theories from a number of disciplines and thinkers that highlight multiple, sometimes conflicting understandings about well-being.We identify three broad strands or themes within the literature(s) that frame both the nature of the problem and its potential solutions in different ways. The first strand can be categorised as the "hard" science of well-being and its stagnation or decline in modern western society. In a second strand, social and political theory suggests that conceptualisations of well-being are shaped by aspects of western culture, often in line with the demands of a capitalist economic system.A third theme pursues the critique of consumer culture's influence on well-being but in the context of broader human problems.This approach draws on ecology, ethics, philosophy and much else to suggest that we urgently need to reconsider what it means to be human, if we are to survive and thrive. Although no uncontroversial solutions are found within any of these themes, all play a necessary part in contributing to knowledge of this complex territory, where assumptions about the nature of the human condition come into question

The complex territory of well-being: contestable evidence, contentious theories and speculative conclusions

This paper brings together evidence and theories from a number of disciplines and thinkers that highlight multiple, sometimes incommensurable understandings about well-beings. Three broad strands are identified. The first strand is categorised as the 'hard' science of well-being and its stagnation or decline in modern western society. The second strand, social and political theory suggests that conceptualisations of well-being are shaped by aspects of western culture, often in line with the demands of a capitalist economic society. The third theme pursues the critique of consumer culture's influence on well-being but in the context of broader human problems. This approach draws on ecology, ethics, philosophy and much else to suggest we urgently need to reconsider what it means to be human, if we are to survive and thrive

Successful ageing in an area of deprivation: Part 1—A qualitative exploration of the role of life experiences in good health in old age

Objectives: To determine the life histories and current circumstances of healthy and unhealthy older people who share an ecology marked by relative deprivation and generally poor health. Study design: In-depth interview study with a qualitative analysis. Methods: Matched pairs of healthy and unhealthy ‘agers’ were interviewed face-to-face. Healthy ageing was assessed in terms of hospital morbidity and self-reported health. Study participants consisted of 22 pairs (44 individuals), aged 72–89 years, matched for sex, age and deprivation category, and currently resident in the West of Scotland. All study participants were survivors of the Paisley/Renfrew (MIDSPAN) survey, a longitudinal study commenced in 1972 with continuous recording of morbidity and mortality since. Detailed life histories were obtained which focused on family, residence, employment, leisure and health. This information was supplemented by more focused data on ‘critical incidents’, financial situation and position in social hierarchies. Results: Data provided rich insights into life histories and current circumstances but no differences were found between healthy and unhealthy agers. Conclusions: It is important to understand what differentiates individuals who have lived in circumstances characterized by relative deprivation and poor health, yet have aged healthily. This study collected rich and detailed qualitative data. Yet, no important differences were detected between healthy and unhealthy agers. This is an important negative result as it suggests that the phenomenon of healthy ageing and the factors that promote healthy ageing over a lifetime are so complex that they will require even more detailed studies to disentangle

Inspiring Creative Solutions: An Experimental Investigation of Three Ideation Methods in Generating Creative Product

This study examines strategic, collaborative decision making with the goal of producing more creative solutions. Our experimental approach compares the results of three methods of ideation: manual free brainstorming, manual carousel brainstorming, and electronic carousel brainstorming (as implemented by a group support system). Our finding is that manual and electronic carousel brainstorming yield more creative solutions than does free brainstorming. However, there is little difference between the former methods. Both the manual and electronic forms of carousel brainstorming are equally effective at yielding creative solutions. Strategic, collaborative decision making, when well implemented, results in full consideration of the operational environment and selection of a solution. Yet the process is cumbersome. It is time-consuming. When it fails, it can produce solutions that are suboptimal. For these reasons, a vigilant decision making process is often abridged or neglected entirely. One of the primary causes of that failure is due to cognitive inertia, a tendency to focus on a single solution to the neglect of others (Lamm & Trommsdorff, 1973, p. 364). The reasons for cognitive inertia are explained by the cognitive network model of creativity (Santanen, Briggs & de Vreede, 2000, p. 2). Cognitive inertia is due to a tendency of the mind to resonate around a local cognitive space. Better decision making could be achieved if stimuli were introduced that forced the mind to more remote cognitive spaces. This is accomplished by use of carousel brainstorming. The outcome is more creative solutions

Spectra of Unsteady Wind Models of Gamma-Ray Bursts

We calculate the spectra expected from unsteady relativistic wind models of gamma-ray bursts, suitable for events of arbitrary duration. The spectral energy distribution of the burst is calculated over photon energies spanning from eV to TeV, for a range of event durations and variability timescales. The relative strength of the emission at different wavelengths can provide valuable information on the particle acceleration, radiation mechanisms and the possible types of models.Comment: 10 pages, 2 postscript figures included, uses aaspp4.sty. Accepted for publication in the Astrophysical Journal Letters. Also available at http://www.astro.psu.edu/users/hara/Preprints/xxx_sub.p

Establishing the potential for using routine data on Incapacity Benefit to assess the local impact of policy initiatives

<i>Background</i>: Incapacity Benefit (IB) is the key contributory benefit for people who are incapable of work because of illness or disability. <i>Methods</i>: The aims were to establish the utility of routinely collected data for local evaluation and to provide a descriptive epidemiology of the IB population in Glasgow and Scotland for the period 2000–05 using data supplied by the Department for Work and Pensions. <i>Results</i>: Glasgow's IB population is large in absolute and relative terms but is now falling, mainly due to a decrease in on flow. Claimants, tend to be older, have a poor work history and suffer from mental health problems. The rate of decline has been greater in Glasgow than Scotland, although the rate of on flow is still higher. <i>Conclusions</i>: Department for Work and Pensions (DWP) data can be used locally to provide important insights into the dynamics of the IB population. However, to be truly useful, more work needs to be undertaken to combine the DWP data with other information

Is 'modern culture' bad for our health and well-being?

Evidence is accumulating that well-being in high-income societies may be static or in decline. One influential theory argues that this is because ‘modern’ societies are influenced by values of materialism, individualism and consumerism. Does this intellectual critique resonate with ordinary people? This article reports on interviews with purposefully selected groups in Scotland, where the relevance of the cultural critique was explored. Participants in the study believed that cultural values such as individualized consumerism do exert a damaging influence on well-being. They suggested that such values are given particular power in the context of widespread social change and increasing inequalities. Nevertheless, they also believed that individuals and communities possess the capacity to resist such trends. This article concludes that efforts to achieve material improvement for disadvantaged people may not suffice in redressing deep-seated inequalities, if the contribution of some subtle but pernicious effects of contemporary culture remains neglected. However, the research does suggest that positive responses are also possible