Standing against racial capitalism: Reconsidering psychology's role in dismantling systemic racism.

The American Psychological Association's resolutions on dismantling systemic racism represent a watershed moment in our discipline, yet confusion remains as to what it means to "dismantle" racism given psychology's emphasis on changing individual beliefs. This submission will review the tension between "idealist" interpretations of critical race theory emphasizing individual beliefs and "realist" perspectives contextualizing racism within political economic arrangements. Psychology's adoption of an "idealist" framework will be shown to privilege a neoliberal project emphasizing individual change and symbolic performances of racial justice instead of structural changes benefitting people of color's material existence. Drawing on a decolonial critique of racial capitalism, we propose an alternative framework to challenge our discipline to broaden its political imagination by supporting evidence-based policies to dismantle racism as a structural and political force. This includes universal policies to reduce racial and economic inequality and population-specific policies such as reparations for African Americans predicted to stimulate economic growth. Urgently, the decolonial lens challenges psychology to theorize racism not as a primarily individual phenomenon but a political force that divides and conquers while enriching white economic elites. To fulfill the promises of the American Psychological Association's resolutions, we must directly challenge the political economic interests that benefit from racism and contribute to the common good as a form of "loving care." (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Capitalism and the 'commercial determinants of health': A more-than-human micropolitics.

This paper argues that studies of the 'commercial determinants of health' (CDoH) need to acknowledge fully the part the capitalist mode of commodity production and exchange plays in producing negative health outcomes. This proposition is supported by recourse to a recent development in political economy that has established a more-than-human, relational and monist (or 'flat') ontology of capitalism, in place of the more conventional neo-Marxist perspective. This ontology reveals a dynamic to capitalism that operates beyond human intentionality, driven by the supply of, and demand for the capacities of commodities. This dynamic determines the production and consumption of all commodities, some among which (such as tobacco, alcohol and processed foods) contribute to ill-health. A case study of food consumption reveals how these supply and demand affects drive 'unhealthy' food choices by consumers. Ways to undermine this more-than-human dynamic are offered as an innovative approach to addressing the effects of commerce and capitalism upon health.

Privatization and oligopolies of the renal replacement therapy sector on contemporary capitalism: a systematic review and the brazilian scenario

ABSTRACT: Worldwide the assistance on renal replacement therapy (RRT) is carried out mainly by private for-profit services and in a market with increase in mergers and acquisitions. The aim of this study was to conduct an integrative systematic review on privatization and oligopolies in the RRT sector in the context of contemporary capitalism. The inclusion criteria were scientific articles without language restrictions and that addressed the themes of oligopoly or privatization of RRT market. Studies published before 1990 were excluded. The exploratory search for publications was carried out on February 13, 2024 on the Virtual Health Library Regional Portal (VHL). Using the step-by-step of PRISMA flowchart, 34 articles were retrieved, of which 31 addressed the RRT sector in the United States and 26 compared for-profit dialysis units or those belonging to large organizations with non-profit or public ones. The main effects of privatization and oligopolies, evaluated by the studies, were: mortality, hospitalization, use of peritoneal dialysis and registration for kidney transplantation. When considering these outcomes, 19 (73%) articles showed worse results in private units or those belonging to large organizations, six (23%) studies were in favor of privatization or oligopolies and one study was neutral (4%). In summary, most of the articles included in this systematic review showed deleterious effects of oligopolization and privatization of the RRT sector on the patients served. Possible explanations for this result could be the presence of conflicts of interest in the RRT sector and the lack of incentive to implement the chronic kidney disease care line. The predominance of articles from a single nation may suggest that few countries have transparent mechanisms to monitor the quality of care and outcomes of patients on chronic dialysis.

O desmentido da privação como sintoma do discurso capitalista / Le déni de la privation comme symptôme du discours capitaliste / The denial of deprivation as a symptom of capitalist discourse

Na esteira das lógicas da economia psíquica e da economia política desenvolvidas por Freud e Lacan, tomamos como cerne um tipo de defesa que aparece em muitos casos da clínica contemporânea - o desmentido da privação - para colocar em evidência sua relação com o discurso capitalista pensado por Lacan. O desmentido da privação é um modo de defesa subjetivo que aparece como um índice do fracasso do pai privador na passagem do segundo para o terceiro tempo do complexo de Édipo. Trata-se de uma forma de se defender da castração buscando satisfação pulsional sem mediação simbólica ­ busca essa que é fracassada e extrapola o princípio de prazer. Conclui-se que esse desmentido contemporâneo é um sintoma do próprio discurso capitalista. Se a for aclusão da castração no discurso capitalista é uma promessa igualmente fracassada, o desmentido da privação aparece na subjetividade tentando solucionar esse fracasso. Ele é um sinal de que o discurso capitalista não cumpre sua promessa - e isso por sua própria engrenagem lógica.

Dans le sillage des logiques d'économie psychique et d'économie politique développées par Freud et Lacan, nous nous concentrons sur un type de défense qui apparaît dans de nombreux cas de pratique clinique contemporaine - le déni de la privation - pour mettre en évidence sa relation avec le discours capitaliste d' accord avec ce qui fut pensé par Lacan. Le déni de la privation est une défense subjective qui apparaît comme un indice de l'échec du père qui prive dans le passage du deuxième au troisième stade du complexe d'Œdipe. C'est une manière de se défendre de la castration en recherchant une satisfaction pulsionnelle sans médiation symbolique ­ une recherche qui échoue et dépasse le principe du plaisir. Nous concluons que ce déni contemporain est un symptôme du discours capitaliste lui-même. Si la for clusion de la castration dans le discours capitaliste est une promesse également ratée, le déni de la privation apparaît dans la subjectivité qui tente de résoudre cet échec. C'est le signe que le discours capitalistene tient pas ses promesses - et cela par sa propre logique.

Following the logics of psychic economy and political economy developed by Freud and Lacan, we target a type of defense that appears in many cases of contemporary clinical practice - the denial of deprivation - to highlight its relationship with the capitalist discourse as thought by Lacan. The denial of deprivation is a subjective defense that appears as an index of the failure of the depriving father in the transition from the second to the third stage of the Oedipus complex. It is a way of defending oneself from castration by seeking instinctual satisfaction without symbolic mediation ­ a search that fails and goes beyond the pleasure principle. The conclusion is that this contemporary denial is a symptom of capitalist discourse itself. If the foreclosure of castration in capitalist discourse is an equally failed promise, the denial of deprivation appears in subjectivity trying to resolve this failure. It is a sign that capitalist discourse does not fulfill its promise - and this by its own logical perspective.

Research on the impact of equity incentive model on enterprise performance: A mediating effect analysis based on executive entrepreneurship.

In implementing the equity incentive system, this paper delves into the listed enterprises' selection of equity incentive models. While previous research has extensively covered the effects, models, and influencing factors of equity incentives, there needs to be more in-depth literature focusing on the diverse incentive models and their impact on corporate performance. Notably, there needs to be more literature on considering entrepreneurial spirit as a mechanism. It aims to explore the relationship between executives' choices under different incentive models, the entrepreneurial spirit fostered by these models, and their combined impact on corporate performance. The findings reveal that adopting the restricted stock incentive model by listed enterprises implementing the equity incentive system significantly positively affects enterprise performance. Mechanistic tests show that when a company implements the restricted stock incentive model, executives prioritize maximizing their interests, leading them to embrace more risk in their investment decisions. This behavior, in turn, stimulates the adventurous spirit of executives, positively impacting enterprise performance, particularly pronounced in companies with more concentrated executive power. Moreover, executives may be more inclined to invest in high-risk, high-reward innovative projects, a behavior indicative of innovation and more prevalent in firms with higher research and development (R&D) investment. However, the limitation of this paper is that the study evaluates the operation of the equity incentive system in China by taking listed companies in China as an example, which is not necessarily suitable for foreign developed capitalist countries. This study contributes to the study of principal-agent problems by exploring the relationship between executives, entrepreneurship and firm performance.

Profits over care? An analysis of the relationship between corporate capitalism in the healthcare industry and cancer mortality in the United States.

The characteristic features of 21st-century corporate capitalism - monopoly and financialization - are increasingly being recognized by public health scholars as undermining the foundations of human health. While the "vectors" through which this is occurring are well known - poverty, inequality, climate change among others - locating the root cause of this process in the nature and institutions of contemporary capitalism is relatively new. Researchers have been somewhat slow to study the relationship between contemporary capitalism and human health. In this paper, we focus on one of the leading causes of death in the United States; cancer, and empirically estimate the relationship between various measures of financialization and monopoly in the US healthcare system and cancer mortality. The measures we focus on are for the hospital industry, the health insurance industry, and the pharmaceutical industry. Using a fixed effects model with different specifications and control variables, our analysis is at the state level for the years 2012-2019. These variables include data on population demographic controls, social and economic factors, and health behavior and clinical care. We compare Medicaid expansion states with non-Medicaid expansion states to investigate variations in state-level funded health insurance coverage. The results show a statistically significant positive correlation between the HHI index in the individual healthcare market and cancer mortality and the opioid dispensing rate and cancer mortality.

Every loaf of bread is political - Reflections on collective care responses to Covid-19 in Cape Town.

Feminist perspectives on care have demonstrated how capitalism undervalues care work. The Covid-19 pandemic highlighted this further, as systems of production and social reproduction became destabilized globally. In many countries, the formal pandemic response fell short of attending to the daily, fundamental care needs of people living through the crisis, especially those compromised by the socio-economic effects of the pandemic. These needs were often attended to at the community level. This article explores a community-led network of care, known as CANs, that emerged in response to the pandemic in Cape Town. It makes three overarching observations. The first is that community-led responses were characterised by a push towards the collectivisation of care work. The second is that this enabled emergent strategies and relational practices of care, centring notions of solidarity, inter-dependence and horizontal exchange of resources and knowledge. Finally, we observed that, although the devaluation of care work limited the recognition and material support extended to CANs, opportunities to re-politicise care work as resistance work emerged. These represent a prefigurative moment in which alternative logics and strategies can transform the vision of our health and care systems, and the notion of community participation in and ownership of those systems.

Feminism and Capitalism under the Nuclear Cloud & Barbie.

The Warner Brothers/Mattel movie Barbie is meant to be about feminism and capitalism in complicated, comical, and nuanced ways. It mostly succeeds in its dual purpose of comedy and inspiration. The doll's origin in 1959 places her and her consort, Ken, squarely in the context of the Cold War, although neither the movie nor the doll's long and successful marketing history acknowledges anything outside the sunny world of Barbie Land. The nuclear shadow does affect the movie's reception, however, in the form of international protests over the dashed lines scrawled on a supposed "World Map" in one scene. For nations in and around the South China Sea, the dashed lines evoke the specter of war in a nuclear age over claims to territorial sovereignty. Yet director Greta Gerwig's film is a runaway success, the first film solo directed by a woman to gross more than a billion dollars and counting.

A Critical Understanding of Inclusion in Oral Microbiome Research through the Lens of Racial Capitalism.

There are important calls for greater inclusion of Indigenous and racialised communities in oral microbiome research. This paper uses the concept of racial capitalism (the extractive continuity of colonialism) to critically examine this inclusion agenda. Racial capitalism explicitly links capitalist exploitations with wider social oppressions e.g., racisms, sexism, ableism. It is not confined to the commercial sector but pervades white institutions, including universities. By using the lens of racial capitalism, we find inclusion agendas allow white institutions to extract social and economic value from relations of race. Racially inclusive research is perceived as a social good, therefore, it attracts funding. Knowledge and treatments developed from research create immense value for universities and pharmaceutical companies with limited benefits for the communities themselves. Moreover, microbiome research tends to drift from conceptualisations that recognise it as something that is shaped by the social, including racisms, to one that is determined genetically and biologically. This location of problems within racialised bodies reinforces racial oppressions and allows companies to further profit from raciality. Inclusion in oral microbiome research must consider ways to mitigate racial capitalism. Researchers can be less extractive by using an anti-racism praxis framework. This includes working with communities to co-design studies, create safer spaces, giving marginalised communities the power to set and frame agendas, sharing research knowledges and treatments through accessible knowledge distributions, open publications, and open health technologies. Most importantly, inclusion agendas must not displace ambitions of the deeper anti-oppression social reforms needed to tackle health inequalities and create meaningful inclusion.

Organized abandonment under racial capitalism: Measuring accountable actors of structural racism for public health research and action.

Understanding the shifting nature of structural racism historically and across institutions is vital for effective action towards racial health equity. While public health research on structural racism is rapidly increasing, most studies are missing the interdependence of policies and institutional practices over time that shape power imbalances and lead to entrenched health inequities. Here, we discuss Ruth Wilson Gilmore's concept of organized abandonment - the intentional disinvestment in communities which, in turn, creates opportunities for extraction, revenue generation, and carceral enforcement to fill the cracks of a compromised social infrastructure - to encourage action-oriented public health research that is grounded in history and an understanding of racial capitalism. We present a case example using publicly-available data on redlining, gentrification and policing in Seattle, Washington. We mapped the intersections of redlining and gentrification and estimated their neighborhood-level association with police activity using Bayesian spatial Poisson regression models. We found that histories of racist housing policies like redlining and processes of gentrification are interdependent and shape contemporary neighborhood racial and economic segregation and police activity. Compared to structurally advantaged neighborhoods, police stops were higher in neighborhoods that were 1) historically disinvested (i.e. redlined) and remain low-income and structurally disadvantaged and 2) formerly industrial and business districts that were not redlined and are now gentrified. Notably, we found that policing practices were significantly more intensive in neighborhoods that were both high redlined and gentrified. Together, these findings illustrate how the place-based racialized processes of dispossession, displacement and policing are deeply intertwined to maintain racial capitalism. Our findings also highlight the importance of examining multiple racialized processes simultaneously to fill critical gaps in the existing literature that are necessary for sustainable solutions to address structural racism.

Nursing as total institution.

Healthcare under the auspices of late-stage capitalism is a total institution that mortifies nurses and patients alike, demanding conformity, obedience, perfection. This capture, which resembles Deleuze's enclosure, entangles nurses in carceral systems and gives way to a postenclosure society, an institution without walls. These societies of control constitute another sort of total institution, more covert and insidious for their invisibility (Deleuze, 1992). While Delezue (1992) named physical technologies like electronic identification badges as key to understanding these societies of control, the political economy of late-stage capitalism functions as a total institution with no cohesive, centralized, connected material apparatus required. In this manuscript, we outline the ways in which the healthcare industrial complex demands nurse conformity and how that, in turn, operationalizes nurses in service to the institution. This foundation leads to the assertion that nursing must foster a radical imagination for itself, unbound by reality as it presently exists, in order that we might conjure more just, equitable futures for caregivers and care receivers alike. To tease out what a radical imagination might look like, we dwell in paradox: getting folks the care they need in capitalist healthcare systems; engaging nursing's deep history to inspire alternative understandings for the future of the discipline; and how nursing might divest from extractive institutional structures. This paper is a jumping-off place to interrogate the ways institutions telescope and where nursing fits into the arrangement.

Open AI meets open notes: surveillance capitalism, patient privacy and online record access.

Patient online record access (ORA) is spreading worldwide, and in some countries, including Sweden, and the USA, access is advanced with patients obtaining rapid access to their full records. In the UK context, from 31 October 2023 as part of the new NHS England general practitioner (GP) contract it will be mandatory for GPs to offer ORA to patients aged 16 and older. Patients report many benefits from reading their clinical records including feeling more empowered, better understanding and remembering their treatment plan, and greater awareness about medications including possible adverse effects. However, a variety of indirect evidence suggests these benefits are unlikely to accrue without supplementation from internet-based resources. Using such routes to augment interpretation of the data and notes housed in electronic health records, however, comes with trade-offs in terms of exposing sensitive patient information to internet corporations. Furthermore, increased work burdens on clinicians, including the unique demands of ORA, combined with the easy availability and capability of a new generation of large language model (LLM)-powered chatbots, create a perfect collision course for exposing sensitive patient information to private tech companies. This paper surveys how ORA intersects with internet associated privacy risks and offers a variety of multilevel suggestions for how these risks might be better mitigated.

Nation-builders and market architects: How social origins mold the careers of law graduates over 200 years in Norway.

This paper examines the types of work that jurists have historically undertaken and maps how opportunities for legal practice have been shaped by social origins across three centuries: after constitutional independence in the mid-1800s, during industrial capitalism in the mid-1900s, and at present-day advanced capitalism. I analyze historical archive data on law graduates from the 19th and 20th centuries in combination with administrative registry data from the 1990s onwards and employ correspondence analysis to explore how social backgrounds shape careers, considering transformations in class structures and the changing significance of juridical expertise over time. Within each period, jurists have served in very different roles including those that craft and cater to the institutional make-up of the state and the markets. My analysis shows that the impact of social origin on occupational outcomes has undergone significant changes, mirroring shifts in the broader social structure; from the importance of legal and political capital (within regional jurisdictions) in the 19th century to the significance of economic capital as the main structuring principle, but also a greater significance of cultural capital, in contemporary times. The ability to reach the most powerful positions among law graduates-within the polity in the 19th century, and the economy in the 21st century-has been differently structured by origins. I argue that expansion of the student body, the declining standing of the university, and heightened differentiation of the social structure and the juridical field have made intimate familiarity with the business world pivotal for forging mutually beneficial alliances between jurists and the increasingly dominant capitalist class. Today, a select group of jurists have managed to connect with and contribute to the rising power of private capital. Thus, the historical tale of jurists cannot be accurately captured by notions of uniform descent from national power structures.