This article examines the prospects and challenges of local fundraising for human rights organizations (LHROs) in Mumbai, India—one of the country’s largest financial and cultural centers. Drawing on in-depth interviews with 30 organizational leaders and a representative survey of 1,680 residents, Archana Pandya and James Ron explore how Indian rights groups navigate restrictive foreign funding laws, reputational risks, and a rapidly expanding corporate sector . -/- Findings show that Mumbai’s LHROs remain heavily dependent on foreign aid, leaving them vulnerable (...) to government crackdowns under India’s Foreign Contribution Regulation Act (FCRA). While leaders recognize the need to diversify and tap into domestic philanthropy, they face a critical dilemma: survey evidence reveals that public trust in human rights groups is strongly and inversely correlated with trust in local corporations. In other words, the more citizens trust businesses, the less they trust rights groups, and vice versa. This dynamic complicates efforts to seek corporate support, even as India’s 2013 Companies Act mandates new corporate social responsibility (CSR) donations. -/- The article highlights broader global implications: governments worldwide are restricting foreign aid to NGOs, pushing rights groups to pursue “local funds for local rights.” Yet, as the Mumbai case shows, fundraising from domestic elites may carry reputational costs and undermine grassroots legitimacy. For scholars, activists, and policymakers, these findings underscore the political economy of human rights funding and the fragile balance between financial sustainability and public trust. -/- Citation: Archana Pandya & James Ron (2017). Local resources for local rights? The Mumbai fundraiser’s dilemma. Journal of Human Rights, 16(3), 370–387. DOI link . (shrink)

_Disaster Psychiatry: Intervening When Nightmares Come True_ captures the state of disaster psychiatry in the aftermath of the terrorist attacks of September 11, 2001. This emergent psychiatric specialty, which is increasingly separated from trauma and grief psychiatry on one hand and military psychiatry on the other, provides psychotherapeutic assistance to victims during, and in the weeks and months following, major disasters. As such, disaster psychiatrists must operate in the widely varying locales in which natural and man-made disasters occur, and they (...) must establish their role among the chaotic array of organizations involved in direct disaster response. Editors Anand Pandya and Craig Katz have captured the challenge and promise of disaster psychiatry through first-person narratives. We hear from psychiatrists who have encountered disasters at various stages of their career and in widely varying social, political, and personal contexts. Accounts of psychiatric involvement with adults and children during and after 9/11 have understandable pride of place in this collection. But they are balanced by richly informative narratives about other domestic and international disasters. Fraught with the drama attendant to the events they describe, these essays delineate the dizzying array of challenges that confront the disaster psychiatrist. They range from the intense emotional responses that are part of the aftermath of any disaster, to the need to legitimize a psychiatric presence within diverse cultural and medical contexts, to the subtle task of providing therapeutic boundaries at a time when all rules seem to be suspended. Special attention is given to the daunting task of working with children whose parents' are disaster victims. What emerges from these testimonies is compelling documentation of skilled and compassionate psychiatrists at the outer limits of their specialty, pursuing their calling into uncharted realms of therapeutic engagement. (shrink)

This article reports a study on the impact of a workplace spirituality training (WPST) programme for South Asian nonprofit sector workers. WPST participants reported higher post-test scores on workplace spirituality and job satisfaction vis-à-vis a waitlist control group. Post-test scores were particularly higher for female workers, gender non-disclosing workers, Hindus and Christians, workers in the child care, development and protection sector, women’s right and empowerment sector, disability and rehabilitation sector and those whose WPST compliance was higher. Inclusion of spirituality in (...) the nonprofit sector workplace helps engage workers and overcome possible dissonances. Some programme modifications may be needed for male workers, Buddhist and Muslim workers, and workers in urban and rural development and criminology–correctional–paralegal services sectors. (shrink)

The concept of governmentality has a textual and philosophical basis as well as being concerned with what might be called the practices of government. This article discusses and develops the governmentality argument with respect to the guru-led movements. It outlines the basics of Michel Foucault’s concept of governmentality, its analytical frame, the fact that governmentality moves beyond only the practices of the state and its nuances in a neoliberal frame of reference, drawing on Zygmunt Bauman and others. It then discusses (...) the governmentality of guru-led movements through: (1) the political acts and powers of the gurus; (2) the supplementary and complementary efforts to aid the state by the guru-led movements; (3) instances of resistance and taking on the state, and (4) the flipside of governmentality, which manifests as hegemony, Hindutva politics and Hindu nationalism. Through the governmentality argument, aspects of the surveillance, discipline, control, interactivity and competition of the guru-led movements emerge. What is discussed is a post-disciplinary model of governance which devolves power downwards from crumbling state institutions to new agencies of control, in this case, the gurus and their institutions. This devolution, however, is not without its tensions and the article also argues that guru governmentality betrays traces of hybridity and non-linearity. (shrink)

I have reviewed briefly persons who have influenced me during my years as a student of medicine and to date. I have been blessed in my teachers and owe everything I am to them. The chief lessons they taught me were integrity, sincerity, the need to keep learning and practice ethically keeping the welfare of the patient in mind all the time. Above all, they taught me to observe the Golden Rule**.

The importance of Levinas’ notions of sensibility and subjectivity are evident in the revision of phenomenological method by current phenomenologists such as Jean-Luc Marion and Michel Henry. The criticisms of key tenants of classical phenomenology, intentionality and reduction, are of a particular note. However, there are problems with Levinas’ characterization of subjectivity as essentially sensible. In “Totality and Infinity” and “Otherwise than Being”, Levinas criticizes and recasts a traditional notion of subjectivity, particularly the notion of the subject as the first (...) and foremost rational subject. The subject in Levinas’ works is characterized more by its sensibility and affectedness than by its capacity to reason or affect its world. Levinas ties rationality to economy and suggests an alternative notion of reason that leads to his analysis of the ethical relation as the face-to-face encounter. The ‘origin’ of the social relation is located not in our capacity to know but rather in a sensibility that is diametrically opposed to the reason understood as economy. I argue that the opposition in Levinas’ thought between reason and sensibility is problematic and essentially leads to a self-conflicted subject. In fact, it would seem that violence characterizes the subject’s self-relation and, thus, is also inscribed at the base of the social relation. Rather than overcoming a problematic tendency to dualistic thought in philosophy Levinas merely reverses traditional hierarchies of reason/emotion, subject/object and self/other. (shrink)

In this paper I have examined the Saibaba phenomenon which originated in India and now has a global influence. Through fieldwork, I build on the life and works of three faith teachers (gurus) who have contributed to the Sai movement to forward my thesis that sociality and hence tangible social service is an important means to gain legitimacy, social standing and as a response to late modernity. I begin by giving an overview of the Sai phenomena and its peculiarities in (...) terms of syncretism, bricolage and aspects of global proliferation. I then discuss how sociality is a strategy for this genre of faith movement and its implications. Finally I propose that sociality has become a metaphor of Sai sacrality. (shrink)

This article is based on field work with the Vivekananda Kendra in Kanyakumari, India. The Vivekananda Kendra is a Hindu spiritual organization founded in 1972, based on principles promoted by Swami Vivekananda. The organization’s members translate Vivekananda’s Vedanta and Yoga ideals into national reconstruction. The efforts of Eknath Ranade as the key transmitter of Vivekananda’s ideals, the way he effectively wove austerity, renunciation, and service to realize them, and the Kendra’s strategy of social service and its effects are discussed. In (...) particular, the Kendra’s social service is analyzed on the basis of its social consciousness, its views on social issues and gender, its Hindu nationalist stance, and its relationship with the establishment and the global political economy. This critical discourse highlights the Kendra’s emphasis on Vedantic socialism as opposed to traditional socialism. The lenses by which the Kendra views society are gendered and ethnonationalist. It deals with matters of justice, equity, and state relations from a benevolent patriarchal vantage point. (shrink)

Treatment of diseases of the brain by drugs or surgery necessitates an understanding of its structure and functions. The philosophical neurosurgeon soon encounters difficulties when localising the abstract concepts of mind and soul within the tangible 1300-gram organ containing 100 billion neurones. Hippocrates had focused attention on the brain as the seat of the mind. The tabula rasa postulated by Aristotle cannot be localised to a particular part of the brain with the confidence that we can localise spoken speech to (...) Broca's area or the movement of limbs to the contralateral motor cortex. Galen's localisation of imagination, reasoning, judgement and memory in the cerebral ventricles collapsed once it was evident that the functional units-neurones-lay in the parenchyma of the brain. Experiences gained from accidental injuries (Phineas Gage) or temporal lobe resection (William Beecher Scoville); studies on how we see and hear and more recent data from functional magnetic resonance studies have made us aware of the extensive network of neurones in the cerebral hemispheres that subserve the functions of the mind. The soul or atman, credited with the ability to enliven the body, was located by ancient anatomists and philosophers in the lungs or heart, in the pineal gland (Descartes), and generally in the brain. When the deeper parts of the brain came within the reach of neurosurgeons, the brainstem proved exceptionally delicate and vulnerable. The concept of brain death after irreversible damage to it has made all of us aware of 'the cocktail of brain soup and spark' in the brainstem so necessary for life. If there be a soul in each of us, surely, it is enshrined here. (shrink)

Medical practice is based on teaching, learning and examples set by seniors. Past and present practices are briefly analysed. Current trends do not justify optimism. The poor patient is likely to be sidelined as doctors reach out to the rich and powerful in this country and those bringing in American dollars from abroad. While corrective steps are possible, it is unlikely that they will be implemented.

Can strikes by resident doctors training to become consultants in Indian public-sector teaching hospitals be ethical? These hospitals were established for the medical care of the very poor in a country where health insurance and a national health service are nonexistent. In such a situation, the paralysis of tertiary healthcare centers by striking doctors runs contrary to the raison d'être of the profession. It also violates the first dictum of medicine: Primum,nonnocere. And although there is some discussion in the Western (...) literature on strikes by doctors, authorities in India are silent on the subject. (shrink)

This unique volume is a comprehensive,well-illustrated study of the organization of the white matter pathways of the brain. Schmahmann and Pandya have analyzed and synthesized the corticocortical and corticosubcortical connections of the major areas of the cerebral cortex of the rhesus monkey. The result is a detailed understanding of the constituents of the cerebral white matter and the organization of the fiber tracts. The findings from the 36 cases studied are presented on a single template brain, facilitating comparison of (...) the locations of the different fiber pathways. The summary diagrams provide a comprehensive atlas of the cerebral white matter. The text is enriched by close attention to functional aspects of the anatomical observations. The clinical relevance of the pathways is addressed throughout the text and a chapter is devoted to human white matter diseases. The introductory account gives a detailed historical background. Translations of seminal original observations by early investigators are presented, and when these are considered in the light of the authors' new observations, many longstanding conflicts and debates are resolved. This scholarly book is an important addition to systems and cognitive neuroscience that will be of lasting value to neurobiologists, anatomists, neurologists, neurosurgeons, neuroradiologists, psychiatrists, psychologists, and to their students and trainees. (shrink)

By 20 October 2021, the U.S. Food and Drug Administration (FDA) had amended its Emergency Use Authorizations for immunocompetent adults who previously received the Pfizer-BioNTech, Moderna, or Johnson & Johnson COVID-19 vaccines. For the 2-dose Pfizer-BioNTech and Moderna vaccines, the FDA permitted a single booster dose for adults aged 65 years or older and adults aged 18 to 64 years at high-risk for severe COVID-19 or at high risk for occupational or institutional COVID-19 exposure. For the single-dose Johnson & Johnson (...) vaccine, the FDA permitted a single booster dose for all adults aged 18 or older. These eligibility schemes were endorsed by the Centers for Disease Control and Prevention shortly after FDA approval. (shrink)

Local human rights organizations (LHROs) are key domestic and transnational actors, modifying, diffusing, and promoting liberal norms; mobilizing citizens; networking with the media and activists; and pressuring governments to implement international commitments. These groups, however, are reliant on international funds. This makes sense in politically repressive environments, where potential donors fear government retaliation, but is puzzling elsewhere. We interviewed 263 LHRO leaders and key informants from 60 countries, and conducted statistically representative surveys of 6180 respondents in India, Mexico, Morocco, and (...) Nigeria. Based on these data, we believe LHRO funding in non-repressive environments is shaped by philanthropic logics of appropriateness. In the late 1990s, transnational activists successfully mainstreamed human rights throughout the international donor assistance community, freeing up development money for LHROs. Domestic activists in the global South have not promoted similar philanthropic transformations at home, where charitable giving still focuses on traditional institutions. Instead, domestic rights activists have followed the path of least resistance toward international aid, a logic of outcomes produced by variations in global logics of (philanthropic) appropriateness. (shrink)

Although policymakers and investigators still struggle to quantify and compare the effects of various Covid-related interventions, we are steadily amassing data that could help inform choices. The pandemic’s medical, social, and economic harms have been immense, and they warrant a continuous policy response. All decision makers use some type of mental model to weigh the pros and cons of various policy options. Rigorous economic evaluation formalizes this process. Value judgments will still be required, but economic evaluation can make the decision-making (...) process more systematic, comprehensive, and transparent. (shrink)

As ethics consultants on a busy consult service in a large urban setting, we would approach this case by gathering more information and context. This involves clarifying the clinical facts, underst...

English Communication Skills have proved to be an integral skill in employment skills. Students graduating in a wide range of disciplines face a number of difficulties in learning the English language especially when they focus on their areas of specializations. It has become a major issue. With reference to the page no 29 of India Skills Report 2023, the employment ratio of Bachelor of Engineering/Bachelor of Technology and Master of Business Administration was 57.44% and 60.1% respectively and the same was (...) 55.15% and 55.09% in the respective fields in 2022 when Communication Skills were kept at the top (page no 9, India Skills Report 2022) in the list of key skills of Digital Age. English proved to be a game changer in terms of enhancing employability scope (Page 20, 21, 45, 47, 53, 54, 55; India Skills Report 2022) and a number of cities and states performed better with more focus on developing English Communication skills of university students. This study is primarily based on looking into social and affective factors affecting English language acquisition skills. It is absolutely relevant to the course developer, policy makers as well as academicians to understand what factors affect the language acquisition capacities of learners and necessary modifications can be initiated accordingly. This is an analytical study and it ascertains the significance of language affective factors from a rapid evidence assessment report submitted by EEF at University of oxford, Department of Education in July 2020 and a similar research project was conducted by Takayo Nitta at the University of Western Cape in South Africa on non-natives learning English and facing similar challenges in social, affective and cognitive areas. This is a qualitative study and secondary data is collected from the research project conducted at the University of Western Cape since learners were from a non-native country only where existing language learning culture is found to be utmost similar and problems are also identical. (shrink)

When the COVID-19 surge hit New York City hospitals, the Division of Medical Ethics at Weill Cornell Medical College, and our affiliated ethics consultation services, faced waves of ethical issues sweeping forward with intensity and urgency. In this article, we describe our experience over an eight-week period (16 March through 10 May 2020), and describe three types of services: clinical ethics consultation (CEC); service practice communications/interventions (SPCI); and organizational ethics advisement (OEA). We tell this narrative through the prism of time, (...) describing the evolution of ethical issues and trends as the pandemic unfolded. We delineate three phases: anticipation and preparation, crisis management, and reflection and adjustment. The first phase focused predominantly on ways to address impending resource shortages and to plan for remote ethics consultation, and CECs focused on code status discussions with surrogates. The second phase was characterized by the dramatic convergence of a rapid increase in the number of critically ill patients, a growing scarcity of resources, and the reassignment/ redeployment of staff outside their specialty areas. The third phase was characterized by the recognition that while the worst of the crisis was waning, its medium- and long-term consequences continued to pose immense challenges. We note that there were times during the crisis that serving in the role of clinical ethics consultant created a sense of dis-ease as novel as the coronavirus itself. In retrospect we learned that our activities far exceeded the familiar terrain of clinical ethics consultation and extended into other spheres of organizational life in novel ways that were unanticipated before this pandemic. To that end, we defined and categorized a middle level of ethics consultation, which we have termed service practice communication intervention (SPCI). This is an underappreciated dimension of the work that ethics consult services are capable of in times of crisis. We believe that the pandemic has revealed the many enduring ways that ethics consultation services can more robustly contribute to the ethical life of their institutions moving forward. (shrink)

HIn Taking Root: Human Rights and Public Opinion in the Global South (Oxford University Press, 2017), James Ron, Shannon Golden, David Crow, and Archana Pandya challenge conventional wisdom about human rights advocacy. The book draws on a unique series of nationally representative surveys conducted in Mexico, Colombia, Morocco, India, and Nigeria between 2011 and 2013—capturing the views of nearly 6,000 respondents in urban and rural settings. -/- The central finding: human rights principles enjoy far more popular legitimacy in the (...) Global South than elites often assume. Across diverse contexts, majorities of ordinary people expressed support for the idea that governments should respect human rights. At the same time, respondents were cautious about human rights NGOs, often perceiving them as elite-driven, internationally funded, and disconnected from local needs. -/- This book breaks new ground by empirically examining the “demand side” of human rights—the beliefs and attitudes of citizens, rather than just the strategies of NGOs or the policies of states. Its insights are essential for understanding how rights movements can build legitimacy and local support in societies marked by poverty, inequality, and political violence. -/- The project has taken on new resonance in light of recent debates over the foreign funding of NGOs and the fragility of human rights support in polarized environments. For example, James Ron’s more recent essay, “A Human Rights Funding Tragedy Foretold”, builds directly on Taking Root’s insights, showing how overreliance on external donors has left many Global South NGOs politically vulnerable. (shrink)

Electronic media present tremendous opportunities for improving the nature of society. I will address how discourse affects society, and how changes in media may improve societal discourse.

While it is not explicitly included in capacity assessment tools, “consistency” has come to feature as a central concern when assessing patients’ capacity. In order to determine whether inconsistency indicates incapacity, clinicians must determine the source of the inconsistency with respect to the process or content of a patient’s decision-making. In this paper, we outline common types of inconsistency and analyze them against widely accepted elements of capacity. We explore the question of whether inconsistency necessarily entails a deficiency in a (...) patient’s capacity. While inconsistency may count as prima facie evidence of incapacity—enough evidence to justify a closer look—when making such determinations, it is important for clinicians to slow down, inquire about the reasons underlying the inconsistency and clearly show which of the elements of capacity the patient fails to satisfy. (shrink)

Pulitzer Prize-winning author Louis Menand begins this wide-ranging volume with an essay that extols diversity and warns of the dangers of modifying the human genome. Nora Groce reviews the ways that societies have defined disability and creates an interpretive framework for discussing the relationship between culture and disability. In essays devoted to historical perspective, Brian H. Greenwald comments upon the real “toll” taken by A. G. Bell’s insistence upon oralism, while Joseph J. Murray weighs the nineteenth-century debate over whether deaf-deaf (...) marriages should be encouraged. John S. Schuchman’s chilling account of deafness and eugenics in the Nazi era adds wrenching reinforcement to the impetus to include disabled people in genetics debates. Mark Willis offers an intensely personal reflection on the complexities of genetic alteration, addressing both his heart condition and his blindness in surprisingly different ways. Anna Middleton extends Willis’s concepts in her discussion of couples currently considering the use of genetic knowledge and technology to select for or against a gene that causes deafness. In the part on the science of genetics, Orit Dagan, Karen B. Avraham, Kathleen S. Arnos, and Arti Pandya clarify the choices presented by genetic engineering, and geneticist Walter E. Nance emphasizes the importance of science in offering individuals knowledge from which they can fashion their own decisions. In the concluding section, Christopher Krentz raises moral questions about the ever-continuing search for human perfection, and Michael Bérubé argues that disability should be considered democratically to ensure full participation of disabled people in all decisions that might affect them. (shrink)