To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
How much do we care when no one is looking? A patient with critical injury and vulnerable to bias—as an uninsured Person of Color experiencing homelessness and social isolation, with a history of mental illness and drug use— experiences barriers to receiving necessary treatment and standard care. When a patient is unable to ask for help, and has no family member or friend to help, what standard of care can they hope to receive? Can the quality of care provided to unrepresented patients represent a hospital’s culture of care? The writer wonders whether to “stay in my lane” and focus only on the ethical question prompting consultation, or if the principles of beneficence and nonmaleficence justify speaking up about substandard care. To mitigate the risk of acting as the “ethics police” by engaging in micromanagement of patient care, the writer describes efforts to expand ethics’ scope to change systemic and cultural attitudes by establishing preventative measures to identify and combat bias and preemptive judgments of futility.
The 1958–1965 period witnessed the rise and fall of the Great Leap Forward. During this period, China saw the second and most radical switch between decentralized and recentralized industrialization in the Mao era, and a further swing in labour policy towards promoting temporary employment. This chapter begins by presenting an overview of the economic and political circumstances of this period. It then examines how the rise and fall of the Great Leap Forward, combined with the shift in labour policy, dramatically redrew the exclusion system, thus affecting the scale and conditions of those in precarious urban employment.
The scope, complexity, and interconnectedness of modern society should prompt us to develop dynamic understandings of democratic modes of inclusion and exclusion. In particular, democratic theory is becoming more attentive to the mismatch between those who make decisions and those who are affected by them as well as to the need to account for the voice of the latter. In this article I build on James Bohman’s understanding of democracy as a rule by multiple dêmoi to develop a framework for studying and evaluating modes of democratic inclusion that are based on being affected. To develop this framework I turn to law and public administration and examine the democratic properties of different institutions and procedures that give a voice to those who are affected by a decision.
The question of who ought to be included in the demos is distinct from, and yet related to, the question of how to distribute decision-making power among those who are included. Political equality is the most common answer to the former question within democratic theory. In democratic practice, it is usually realized through one person one vote. Within democratic theory, there is not as much agreement as to what the answer to the latter question should be. The answer that has attracted most attention within the scholarly literature is that all those who are affected should be included. However, prominent scholars have argued that this all-affected principle is incompatible with political equality and therefore an unattractive answer to the question of inclusion. This article challenges this critique and argues that it is based on a misconception of political equality and a narrow reading of the all-affected principle.
Museum visitors are not reflective of the diversity present in communities around the nation. In this study, we investigate the racial and ethnic diversity of art museum participants as well as the potential motivations and barriers to visiting a museum. Using the General Social Survey, we examine race and ethnicity and arts participation in the USA. We find Black individuals are less likely to attend an art museum than white individuals. Certain motivations and barriers to participating may explain part of the lack of diversity. We find Black and Latinx individuals are motivated to participate in art museums for cultural heritage reasons more than white individuals, but race and ethnicity are unrelated to perceiving admission fees as a barrier. This research highlights the urgency in the field to make museums more inclusive.
Volunteering is associated with health-promoting benefits for both recipients and volunteers and may contribute to a more inclusive society. However, studies have shown a persistent pattern of social inequality among those who volunteer, and immigrants participate as volunteers less than the majority population. To date, approaches for recruiting immigrant populations have not been sufficiently examined, even though multicultural societies are becoming increasingly diverse. This study investigates how recruitment is carried out in voluntary organizations and how volunteers who are involved in recruitment reflect on the inclusion of citizens with immigrant backgrounds. Qualitative interviews were conducted with 18 volunteers and three employees with recruitment responsibility at five voluntary organizations engaged in welfare and community-related activities in a semirural district in Norway. Our findings show that different structural factors and individual aspects of the recruiter influence the recruitment of immigrants as volunteers. Large-scale organizations are more professionalized and more directed by fundings and frameworks and demand more qualifications due to their volunteer tasks. This might make inclusive recruitment more challenging. Small-scale organizations have more flexibility and less professionalized volunteer activities, making recruitment more inclusive. In addition, if the small-scale organizations are minority driven, it seems to positively influence the recruitment of immigrants through increased diversity sensitivity and more connections with immigrants through their social network.
This response builds upon ideas introduced in Charity Hudley et al.'s (2020) target article by focusing on the themes of excellence and racial justice. In addition to relying on previous academic work on race and racism, I also draw from my own experiences as a person of color in the field of linguistics and as a scholar who works with racially minoritized communities. The primary claims of this paper are that the field of linguistics as a whole benefits from broadening and deepening our conceptualizations of scholarly excellence and from consciously attending to the needs and concerns of scholars and community members from racially minoritized groups. To support these claims, I discuss ways in which institutional structures of universities hinder equity and inclusion by marginalizing contributions of scholars from racially minoritized groups and by promoting extractive and neocolonial work involving minoritized communities. I conclude by offering general principles that can serve as guides for fostering greater diversity, equity, and inclusion in university settings. These principles involve acknowledging present shortcomings, aligning the reward system to a broadened notion of excellence and to inclusion, and embracing creative alternatives.
There are currently millions of people with Alzheimer and other dementia-related conditions. Considering relatives and caregivers among others, this means additional millions of people affected. Despite expansive research also on the impact on welfare and health-care systems, the question of dementia from a democratic perspective has been neglected thus far. However, the current situation and projected developments require us to reflect on how participation and inclusion are fundamentally challenged for citizens with dementia. Consequently, the following explores pressing theoretical implications and emerging democratic deficits for societies where, constrained by conventional forms of participation, a rapidly increasing number of citizens are excluded from political processes. Furthermore, as will be illustrated, non-conventional and participatory-oriented concepts could even exacerbate rather than ameliorate inclusion and participation. Finally, I further hope to prompt reflection on possible avenues to enhancing representation and inclusion, ensuring ‘vote and voice’ to an ever growing group of citizens.
This study examines how performing diaspora philanthropy in the country of origin (Morocco) and the experience of integration and inclusion in the country of residence (Netherlands) influences the sense of belonging amongst cross-border diasporic philanthropists. The examination combines theories on migration, cross-border diasporic philanthropy and the sense of belonging. Based on a qualitative exploration of the perspectives and motives of individual cross-border diasporic philanthropists (N = 30), the analysis reveals a profile of cross-border diasporic philanthropists for whom country of residence serves as a positive reference, due to the constant experience of inclusion. They use their country of residence as a reference for social change in their country of origin. This generates a sense of belonging amongst diasporic philanthropists. The findings of this study contribute to the existing literature on the sense of belonging within diasporic communities and cross-border diasporic philanthropists, thereby enhancing understanding of motivations for diasporic philanthropy.
Japan combines demographic challenges of decreasing childbirths and an ageing population, yet political unwillingness to use immigration to ease labour market and caregiving shortages. Paying attention to gender, diversity, and inclusion would seem to be a ‘rational’ political choice. Although Prime Minister Abe (Abe II) understands the need to appear to be responding to Japanese women qua equal citizens, women remain more an ‘object’ of LDP policy than a substantive beneficiary. To improve his image, Abe has incorporated ‘Womenomics’ into his strategy of economic revitalisation; the result has been a rather incoherent blend of ‘equal participation’ and ‘women’s utilisation’. In 2016, the dearth of diversity and anti-feminist sentiment within Japanese politics continues to be mirrored in both passive and active ways within the discursive and institutional political climate, including within academia. It is largely premature to assume a shared normative or scientific commitment to inclusion and diversity in Japan. Japanese Political Science (JPS) is no exception, and this has obvious implications for what constitutes a ‘serious’ political issue worthy of study, what gets funded, who gets hired, and the extent to which critical debates within feminist political science (FSP) on gender, race, and diversity are taken seriously. In this article, I offer a preliminary evaluation of JPS in light of three indicators: the under-representation of women in Japanese academia generally and political science specifically; the access of FPS to large-scale government funding grants (2003–2013) and its impact on the discipline; and recent efforts by feminist political scientists in Tokyo to create a ‘home’ for debates on gender, diversity, and political representation. I conclude with a hopeful expectation that increasing numbers of political scientists in Japan will begin to genuinely problematise the dearth of diversity in Japanese politics and to approach this fundamental puzzle of Japanese democratisation with the intellectual curiosity that it deserves.
In western capitalist societies the state has become increasingly criticized for its inadequacy as a mechanism for distributing welfare inclusively. In particular, it has been criticized for its lack of flexibility in meeting the needs of increasingly plural populations, and for being too distant to enable service users to participate in the meeting of their welfare needs. Consequently, in many countries, including the United Kingdom, voluntary and community associations have been used to distribute welfare with the belief that it can remedy the defects of universal state provision. This paper suggests the voluntary and community sector can only achieve this if the organizations are democratically organized, ensuring participation from staff and users. Moreover, participation should be based around the norms of deliberative democracy. The paper argues that this form of participation will best ensure that the needs, preferences, and interests of subordinate groups are included in social policy delivery, due to the fostering of public reason.
People with disabilities in the US are now a health disparities population. Though 25% of US adults have a disability, only 5% of medical research grants are disability related. Knowledge about researchers’ perceived barriers to including people with disabilities in research has focused on a single disability/condition and thus has limited translational science applications. Our CTSA’s Disability as Difference: Reducing Researcher Roadblocks (D2/R3) project examined such roadblocks towards inclusion of people with intellectual and developmental disabilities (I/DD). I/DDs are broad, heterogeneous conditions that originate in childhood, have varying impact and function, and persist throughout the lifespan. Strategies that mitigate their under-representation in research will likely have general applicability to all disabilities. In D2/R3’s first phase we conducted semi-structured interviews with translational science and I/DD program leaders at ten US institutions about perceived barriers and facilitators to including people with I/DD in research. Interviews were held with 25 individuals from partnering Intellectual and Developmental Disabilities Research Centers, University Centers for Excellence in Developmental Disabilities, and Clinical and Translational Science Award programs. Collaborative thematic coding identified key themes as: attitudinal barriers (e.g., assumptions about consent capacity), logistical barriers (e.g., accommodation costs), health disparities, and generalizability concerns. Findings informed development of a survey based on Prosci’s ADKAR® model of change management’s five components: Awareness, Desire, Knowledge, Ability and Reinforcement. Exclusion appears to stem from researchers’ lack of awareness, misconceptions, and knowledge gaps rather than insurmountable obstacles.
Selection processes in France are governed by a comprehensive legal and regulatory framework that prioritizes fairness, non-discrimination, and equal opportunity. French labor laws explicitly prohibit discrimination based on twenty-five criteria, including sex/gender, ethnicity, disability, and age. Despite these protections, disparities persist, fueling ongoing policy debates and legislative refinements. Regulatory bodies such as the Defender of Rights oversee compliance and promote unbiased hiring practices. However, implicit biases and structural barriers continue to influence employment decisions, challenging efforts to achieve true workplace equality. Employers must balance legal obligations, diversity objectives, and test validity while adapting to evolving EU regulations, such as the AI Act (2024). The introduction of diversity labels and corporate social responsibility initiatives reflects a proactive commitment to fostering inclusive workplaces. Yet enforcement challenges remain, as rising reports of workplace discrimination highlight persistent gaps. Several recommendations have been proposed to mitigate discrimination without compromising the quality and effectiveness of selection methods.
This chapter has been written from the stance of a patient and public contributor to mental health research. It examines the role of patient and public involvement in mental health research which has evolved since the mid 1960s and continues to do so. Examining the people, roles and research and providing a definition for the different stages of Patient and Public Involvement, the chapter looks at how these roles interact, the ethics and rationale for involvement, the power relations between the various parties, whether involvement is moving the research agenda closer to preventative health care, and the subject of equality, diversity and inclusion. The difficulties of working with people with serious mental health issues are addressed. Case studies are given to illustrate various points. Subjects such as training and language are included. The complex subject of evaluation and impact and how they can be resolved are raised. Finally, the chapter concludes by inviting the reader to consider what ‘good PPI’ is, and how it is done.
This textbook provides students with basic literacy on key issues related to Justice, Equity, Diversity, and Inclusion in the United States. Over twelve chapters, it employs critical race theory and intersectionality to promote critical thinking and civic engagement on issues such as American culture, gendered racism, and Black reparations. Each chapter employs interactive and engaging opportunities to learn, making it the ideal introductory resource for undergraduate students. The text is structured around real-world stories, which exemplify the humanity of each person and the complexity of these issues. Causadias presents questions for further discussion or to enhance comprehension, defines key concepts, debunks popular myths, summarizes evidence from trusted sources that challenge misinformation and disinformation, and proposes in-class exercises. Curated reading lists can be found at the end of every chapter for readers to expand their understanding of different topics. This book is also available as Open Access on Cambridge Core.
The incorporation of victim participation into the legal framework of the International Criminal Court (ICC) brought hope, to some, that the voices of victims would be elevated and heard more clearly in the ICC’s proceedings than they had been at previous international criminal tribunals, where they could participate only as witnesses. While research has emphasized the significant distinction to be drawn between the wide pool of victims of international crime and the far more restricted pool of ‘juridified victims’ who participate in international criminal proceedings, less attention has been drawn to the demographics of the juridified victim and the extent to which victim participation is shaped by factors such as age, gender, and disability. This article presents the results of a survey of practitioners and analysis of court documents which indicate that there are a wide range of barriers to the participation of certain groups of victims, which can result in their under-representation. It proposes measures that can be taken to foster a more inclusive victim participation scheme and calls for more rigorous monitoring and reporting on the demographics of victims that participate in ICC proceedings. It also sets out a case for greater inclusion rooted in the rights of victims, the requirements of the Court’s legal framework, the goals of the ICC and the promotion of victim agency and voice.
This chapter explores the systemic inequalities exacerbated by unequal access to digital technologies, known as the digital divide. This divide disproportionately affects vulnerable populations such as women, older people, and rural communities, limiting their access to services, education, and opportunities. The chapter investigates the digital divide’s root causes, including socio-economic disparities, geographic isolation, cultural and language barriers, technological gaps, and insufficient policy interventions. It emphasises the human rights implications of this divide, such as restricted access to education, healthcare, and democratic participation. It also examines international and regional policy responses, noting their shortcomings in addressing the issue comprehensively. The chapter concludes by emphasising the urgent need for inclusive policies, targeted interventions, and international cooperation to bridge the digital divide and ensure that digitalisation benefits all, especially those most at risk of exclusion.
The goal of this chapter is to introduce the concepts of Justice, Equity, Diversity, and Inclusion. It begins with a discussion of the American Dream, the notion that the US is a land of opportunity, equality, and the rule of law, and that anyone can be successful if they work hard. This notion of the American Dream is challenged by evidence and discussed from the perspective of Naima Coster, a Black Latina award-winning author. The chapter reviews some characteristics of minoritized communities in the US, how they experience discrimination and barriers to achieve the dream, and some popular myths about racial/gender progress. The chapter defines Justice, Equity, Diversity, and Inclusion, issues at the heart of demands to make the dream true. Justice, Equity, Diversity, and Inclusion represent a growing field of research, a set of initiatives, and social movements to rethink power asymmetries, how resources and opportunities are distributed, and why social hierarchies are maintained. The chapter includes a Food for Thought section on college student debt and the cycle of poverty. It ends with a discussion of Naima Coster, tokenism, and the need for structural change.
The right to roam – balancing inclusion and enclosure. In Norway, the right to roam is an old custom – a right to traverse and gather berries, herbs and firewood on uncultivated lands – dating back to the Viking Age. In 1957, this right was included in Norwegian laws, in the Outdoor Life Act (Friluftslova). The law transformed agrarian lands into areas for outdoor life and recreation, primarily walking and hiking. However, due to modernisation, the activities performed today are very different than those in the 1950s, involving many sorts of technical devices and installations, commercial activities and a different landscape. The law was a manifestation of the Norwegian outfields as a commons, but what is a commons for some can be an enclosure for others. This is the topic of this article: how the right to roam includes many and much but represents encroachment, displacements and enclosures and has created crowding, natural wear and tear and urges for management regimes. The article describes this as a balance between inclusion and enclosure. The article has two major parts: one presenting the academic discussion about inclusion and enclosure, the other discussing the implementation of the principle in Norway in light of this theory.
Autistic high school students overwhelmingly have a poor experience of school. Research into this stage of life is limited, and researchers have tended not to talk to autistic students directly, instead hearing from non-autistic observers such as teachers and parents. This study aimed to address this gap in our knowledge by interviewing autistic students in mainstream high schools about their experience of school and their ideas for how this could be improved. Ten autistic students (13 to 20 years old) in Australian high schools were interviewed. Students overwhelmingly reported a negative experience. Most said their ideal school would be one where teachers and peers had greater understanding about autism and teachers had training in autism. By including the student voice, this research makes a valuable contribution to our understanding of autistic students’ school experience, adding depth and detail, and including what they would like to see changed. Importantly, the interview data also challenged misconceptions about what autistic students prioritised. The voice of autistic teens can make an important contribution to policies and practices aimed at improving their experience of school.