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Cantyani, Kasistha, Jason Matthew, Sesilia Rainaputri Jans e Aureishia Huang. "The Prisoner’s Dilemma: Indonesia and the European Union in Export Commodity Disputes". Jurnal Sentris 4, n.º 1 (16 de junho de 2023): 86–100. http://dx.doi.org/10.26593/sentris.v4i1.6794.86-100.

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Nickel ore export ban has been imposed by Indonesia as the leading actor on the global nickel supply chain which created a disruption and has not been perceived well by other countries, especially the European Union (EU) countries. This paper will analyze the implications caused by the export ban to EU countries and the actions following it, including the enactment of the palm oil ban. Starting with the World Trade Organization (WTO) panel, the EU’s strategy of forcing Indonesia to lift the export ban has not yet succeeded. With the tit-for-tat strategy, this paper identifies the EU’s palm oil ban as a form of retaliation for the Indonesian nickel ore export ban. Although the tit-for-tat strategy often is used in a positive-sum game, the conflict between Indonesia and the EU is a negative-sum game with both parties putting their economies at risk. Keywords: nickel ore export ban, palm oil ban, tit-for-tat strategy, Indonesia, European Union REFERENCES Adam, B., & Ahamat, H. (2022). Indonesia’s Mineral Export Prohibition and Legality of Export Duties Under the GATT Rules. Sriwijaya Law Review, 6(2), 239. https://doi.org/10.28946/slrev.vol6.iss2.1661.pp239-253 Bloomberg. (2022, September 30). Export ban triples nickel investment in Indonesia’s Morowali. Mining Weekly. https://www.miningweekly.com/article/export-ban-triples-nickel-investment-in indonesias-morowali-2022-09-30 BNamericas - Why nickel prices are rising – and will rema... (2022, March 28). BNamericas.com. https://www.bnamericas.com/en/interviews/why-nickel-prices-are-rising--and-will-remain high#:~:text=The%20main%20point%20that%20will Codingest. (2023, January 16). Threats in Europe, for Indonesian Palm Oil in 2023. BPDP. https://www.bpdp.or.id/en/threats-in-europe-for-indonesian-palm-oil-in 2023#:~:text=The%20EU Commodity Watch Indonesia: Zooming In On Nickel, A Valuable Metal With A Bright Future | Indonesia Investments. (2022, June 7). Www.indonesia-Investments.com. https://www.indonesia investments.com/business/business-columns/commodity-watch-indonesia-zooming-in-on-nickel a-valuable-metal-with-a-bright-future/item9521 Decena, K. (2019, May 9). Chinese firms lay out processing facility plans after Indonesian ore export ban. Www.spglobal.com. https://www.spglobal.com/marketintelligence/en/news insights/trending/l19hkna_dqquro-fmklifa2 Dunne, T., Kurki, M., & Smith, S. (2021). International relations theories : discipline and diversity (5th ed., p. 119). Oxford University Press. EU Needs Nickel, But Discriminates Palm Oil. (2021, March 8). Indonesian Palm Oil Association (GAPKI IPOA). https://gapki.id/en/news/19858/eu-needs-nickel-but-discriminates-palm-oil European Steel in Figures 2022. (n.d.). In EUROFER. EUROFER. Retrieved January 10, 2023, from https://www.eurofer.eu/assets/publications/brochures-booklets-and-factsheets/european steel-in-figures-2022/European-Steel-in-Figures-2022-v2.pdf Fahalmesta, F. (2022). Indonesia Nickel Crucial metal for low-carbon future (pp. 1–5). Korea Investment & Sekuritas Indonesia. https://kisi.co.id/storage/researchanalysis/August2022/ZuWoIYdDKyucPZU6Zurg.pdf Halm, I. van. (2023, January 10). The nickel price rollercoaster of 2022. Mining Technology. https://www.mining-technology.com/features/nickel-price-surge-2022-markets/ Home, A. (2022, September 30). Column: Indonesia’s nickel surge bad news for price and pricing. Reuters. https://www.reuters.com/markets/commodities/indonesias-nickel-surge-bad news-price-pricing-2022-09-29/ Huber, I. (2021, December 8). Indonesia’s Nickel Industrial Strategy. Www.csis.org. https://www.csis.org/analysis/indonesias-nickel-industrial-strategy Idris, M. (2021, January 15). Uni Eropa, Gigih Tolak Sawit Indonesia, Tapi Butuh Nikelnya Halaman all. KOMPAS. https://money.kompas.com/read/2021/01/15/203805526/uni-eropa-gigih-tolak-sawit indonesia-tapi-butuh-nikelnya?page=all Kelapa sawit, ancaman perang dagang RI-Uni Eropa dan enam hal lainnya. (2019, March 23). BBC News Indonesia. https://www.bbc.com/indonesia/indonesia-47663602 Lim, B., Kim, H. S., & Park, J. (2021). Implicit Interpretation of Indonesian Export Bans on LME Nickel Prices: Evidence from the Announcement Effect. Risks, 9(5), 93. https://doi.org/10.3390/risks9050093 Nainggolan, B., Wijayati, A., Panjaitan, H., Saputra, D. F., & Rahim, R. (2021). ICLHR 2021: Proceedings from the 1st International Conference on Law and Human Rights, ICLHR 2021, 14- 15 April 2021, Jakarta, Indonesia. In Google Books. European Alliance for Innovation. https://books.google.co.id/books?hl=en&lr=&id=5a1jEAAAQBAJ&oi=fnd&pg=PA226&dq=indonesia+nickel+ban+policy+european+union&ots=qdPe9VZPqw&sig=InXkmX Hqfja4EHtRaVncINgkc&redir_esc=y#v=onepage&q=indonesia%20nickel%20ban%20policy%20european%20union&f =false Nickel for Life. (2019). BKPM. https://www.bkpm.go.id/en/publication/detail/news/nickelforlife#:~:text=Nickel%20potential%20in%20Indonesia Nickel monthly price worldwide 2023. (n.d.). Statista. Retrieved May 25, 2023, fromhttps://www.statista.com/statistics/260799/monthly-price-of-nickel-at-lme Organization, W. T. (n.d.-a). WTO Analytical Index GATT 1994 - Article X (Jurisprudence). Retrieved January 10, 2023, from https://www.wto.org/english/res_e/publications_e/ai17_e/gatt1994_art10_jur.pdf Organization, W. T. (n.d.-b). WTO Analytical Index GATT 1994 - Article XI (Practice). Retrieved January 9, 2023, from https://www.wto.org/english/res_e/publications_e/ai17_e/gatt1994_art11_oth.pdf Pickrell, E. (2022, March 31). Russia-Ukraine War Helps Drive Nickel Prices, EV Headaches. Forbes. https://www.forbes.com/sites/uhenergy/2022/03/31/russia-ukraine-war-helps-drive-nickel-prices ev-headaches/?sh=59f5c7eb57cd Post, T. J. (2022, December 13). Indonesia appeals WTO ruling in nickel dispute against EU. The Jakarta Post. https://www.thejakartapost.com/business/2022/12/13/indonesia-appeals-wto-ruling-in nickel-dispute-against-eu.html Prasetyo, E. (n.d.). Questioning Indonesia’s Ban on Export of Ore Policy Under International Investment and Trade Law. PUSHEP. (2021, February 3). Why does Indonesia’s nickel export ban upset the EU? Pusat Studi Hukum Energi Dan Pertambangan. https://pushep.or.id/why-does-indonesias-nickel-export-ban-upset-the eu/ Staff, R. (2022, December 12). Indonesia appeals WTO ruling in nickel dispute against EU.Reuters. https://www.reuters.com/article/indonedia-eu-nickel-idUSKBN2SW1PR Taufan Adharsyah. (2019, March 20). RI Bakal Rugi Miliaran Dolar Akibat Larangan Sawit Uni Eropa. Market; cnbcindonesia.com. https://www.cnbcindonesia.com/market/20190320173153-17- 61904/ri-bakal-rugi-miliaran-dolar-akibat-larangan-sawit-uni-eropa TRADING ECONOMICS | 20 Million Indicators for 196 Countries. (n.d.). Tradingeconomics.com. Retrieved May 25, 2023, from https://tradingeconomics.com/european union/imports/russia/nickel. Uni Eropa | Portal Kementerian Luar Negeri Republik Indonesia. (2018).Kemlu.go.id. https://kemlu.go.id/portal/en/read/149/halaman_list_lainnya/uni-eropa Warburton, E. (2018). Nationalism, developmentalism and politics in Indonesia’s mining sector. Winona, C. V. (n.d.). Indonesia’s Nickel Industry in the Aftermath of Trade Dispute with the European Union. Https://Cwts.ugm.ac.id. Retrieved January 9, 2023, from https://cwts.ugm.ac.id/en/2022/11/03/indonesias-nickel-industry-in-the-aftermath-of-tradedispute-with-the-european-union/#:~:text=Indonesia%20produces%201%20million%20metric WTO | dispute settlement - DS592: Indonesia - Measures Relating to Raw Materials. (n.d.). World Trade Organization. Retrieved January 9, 2023, from https://www.wto.org/english/tratop_e/dispu_e/cases_e/ds592_e.htm WTO panel rules against Indonesia’s export limitations on raw materials. (2022, November 30). European Commission. https://ec.europa.eu/commission/presscorner/detail/en/ip_22_7314 Xinhua. (2022, November 17). China-invested industrial parks bring boom to Indonesia’s nickel industry - Global Times. Global Times. https://www.globaltimes.cn/page/202211/1279768.shtml Yeo, R. (n.d.). Europe stainless steel prices fall further, no relief until September – sources – British Stainless Steel Association. British Stainless Steel Association. Retrieved January 10, 2023, from https://bssa.org.uk/europe-stainless-steel-prices-fall-further-no-relief-until-september-sources/
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Anggun Adilah Maharani e Tika Widiastuti. "Determinants of Crowdfunder Intention on Using The Crowdfunding-Waqf Model: A Case Study of Kitabisa.Com Applications". Jurnal Ekonomi Syariah Teori dan Terapan 10, n.º 3 (31 de maio de 2023): 290–304. http://dx.doi.org/10.20473/vol10iss20233pp290-304.

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ABSTRACT This study aimed to analyze the influence of variable factors in the UTAUT2 (Unified Theory of Acceptance and Use of Technology) model on behavioral intention to use CWM (Crowdfunding-Waqf Model) in the Kitabisa.com application. The population used in this study were active users of the Kitabisa.com application, which are spread throughout Indonesia. Data collection techniques in this study used survey techniques by distributing questionnaires online to 174 respondents. The sampling technique used in this study was purposive sampling, which is a sampling technique with certain criteria. This study used the SEM-PLS analysis technique. The results of this study indicate that the Effort Expectancy (EE) and Habit (HB) variables have a significant positive effect on behavioral intention to use CWM (Crowdfunding-Waqf Model) in the Kitabisa.com application, thus wakif really considers the ease of use of technology and habits as a determining factor in the adoption of a technology, while 5 other variables, namely Performance Expectancy (PE), Price Value (PV), Social Influence (SI), Hedonic Motivation (HM), and Facilitating Condition (FC) variables have no significant positive effect on behavioral intention to use CWM (Crowdfunding-Waqf Model). The reason of these 5 variables are not significant is because the test results from the Hypothesis Test showed a number that was greater than the significance level of 5% or 0.05. Thus, the dependent variable in the form of Behavioral Intention to Use is only influenced by the Effort Expectancy (EE) and Habit (HB) variables. The contribution of this research is to encourage the policy makers to make policies or laws and regulations that can optimize the benefits of developing the waqf crowdfunding model (CWM) and protect all processes related to the use of productive waqf assets whose funds are collected from the Kitabisa.com application. Keywords: Crowdfunding Waqf Model, Kitabisa.com Application, Unified Theory of Acceptance and Use of Technology, Productive Waqf ABSTRAK Peneltian ini bertujuan untuk menganalisis pengaruh faktor variabel di dalam model UTAUT2 (Unified Theory of Acceptance and Use of Technology) terhadap behvioral intention to use CWM (Crowdfunding-Waqf Model) pada aplikasi Kitabisa.com. Populasi yang digunakan dalam penelitian ini adalah pengguna aktif aplikasi KitaBisa.com yang tersebar di seluruh Indonesia. Teknik pengumpulan data pada penelitian ini menggunakan Teknik survey dengan membagikan kuesioner secara online kepada 174 responden. Jenis pengambilan sampel yang digunakan Purposive sampling yaitu teknik penentuan sampel dengan kriteria tertentu. Penelitian ini menggunakan Teknik analisis SEM-PLS. Hasil penelitian ini menunjukkan bahwa variabel Effort Expectancy (EE) dan variabel Habit (HB) berpengaruh positif signifikan terhadap behvioral intention to use CWM (Crowdfunding-Waqf Model) dalam aplikasi Kitabisa.com, dengan demikian wakif sangat mempertimbangkan kemudahan dalam penggunaan suatu teknologi dan kebiasaan merupakan faktor penentu dalam adopsi suatu teknologi, sementara 5 variabel lainnya yaitu variabel Performace Expectancy (PE), Price Value (PV), Social Influence (SI), Hedonic Motivation (HM), dan variabel Facilitating Condition (FC) tidak berpengaruh positif signifikan terhadap behvioral intention to use CWM (Crowdfunding-Waqf Model). Adapun alasan 5 variabel tersebut tidak signifikan adalah karena hasil pengujian dari Uji Hipotesis menunjukkan angka yang lebih besardari tingkat signifikansi 5% atau 0.05. Dengan demikian, variabel dependen berupa Behavioral Intention to Use hanya dipengaruhi oleh variabel Effort Expectancy (EE) dan variabel Habit (HB) di dalam penelitian ini. Kontribusi dari adanya penelitian ini bagi para policy maker adalah dapat membuat kebijakan atau peraturan perundang-undangan yang dapat mengoptimalkan manfaat dari pengembangan Crowdfunding wakaf model (CWM) dan melindungi segala proses terkait pemanfaatan asset-aset wakaf produktif dan dana yang dikumpulkan dari aplikasi Kitabisa.com. Kata Kunci: Crowdfunding Wakaf Model, Aplikasi Kitabisa.com, Unified Theory of Acceptance and Use of Technology, Wakaf Produktif REFERENCES Alalwan, A. A. (2020). Mobile food ordering apps: An empirical study of the factors affecting customer e-satisfaction and continued intention to reuse. International Journal of Information Management, 50, 28–44. doi:10.1016/j.ijinfomgt.2019.04.008 Alalwan, A. A., Baabdullah, A. M., Rana, N. P., Tamilmani, K., & Dwivedi, Y. K. (2018). Examining adoption of mobile internet in Saudi Arabia: Extending TAM with perceived enjoyment, innovativeness and trust. Technology in Society, 55, 100–110. doi:10.1016/j.techsoc.2018.06.007 Darmansyah, Fianto, B. A., Hendratmi, A., & Aziz, P. F. (2020). Factors determining behavioral intentions to use Islamic financial technology: Three competing models. Journal of Islamic Marketing, 12(4), 794–812. doi:10.1108/JIMA-12-2019-0252 Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., & Thiele, K. O. (2017). Mirror, mirror on the wall: A comparative evaluation of composite-based structural equation modeling methods. Journal of the Academy of Marketing Science, 45(5), 616–632.doi:10.1007/s11747-017-0517-x Hapsari, M. I., Bin Mohd Thas Thaker, M. A., Mohammed, M. O., & Duasa, J. (2022). A qualitative investigation into crowdfunding framework as a source of financing for waqf land development. Journal of Islamic Accounting and Business Research, 13(3), 425–443. doi:10.1108/JIABR-10-2020-0311 Henseler, J., Ringle, C. M., & Sinkovics, R. R. (2009). The use of partial least squares path modeling in international marketing. Advances in International Marketing, 20, 277–319. doi:10.1108/S1474-7979(2009)0000020014 Hong, S. J., Thong, J. Y. L., & Tam, K. Y. (2006). Understanding continued information technology usage behavior: A comparison of three models in the context of mobile internet. Decision Support Systems, 42(3), 1819–1834. doi:10.1016/j.dss.2006.03.009 Hsu, C. L., & Lin, J. C. C. (2015). What drives purchase intention for paid mobile apps?-An expectation confirmation model with perceived value. Electronic Commerce Research and Applications, 14(1), 46–57. doi:10.1016/j.elerap.2014.11.003 Kazemi, H., Miller, D., Mohan, A., Griffith, Z., Jin, Y., Kwiatkowski, J., Tran, L., & Crawford, M. (2015). 350mW G-band medium power amplifier fabricated through a new method of 3D-copper additive manufacturing. Proceeding of 2015 IEEE MTT-S International Microwave Symposium, IMS 2015, 36(1), 157–178. doi:10.1109/MWSYM.2015.7167037 Lee, Y. Y., Dato Haji Yahya, M. H., Habibullah, M. S., & Mohd Ashhari, Z. (2020). Non-performing loans in European Union: country governance dimensions. Journal of Financial Economic Policy, 12(2), 209–226. doi:10.1108/JFEP-01-2019-0027 Martins, M., Farias, J. S., Albuquerque, P. H. M., & Pereira, D. S. (2018). Adoption of technology for reading purposes: A study articles of e-books acceptance. Brazilian Business Review, 15(6), 568–588. doi:10.15728/bbr.2018.15.6.4 Mohd Thas Thaker, H., Mohd Thas Thaker, M. A., Khaliq, A., Allah Pitchay, A., & Iqbal Hussain, H. (2022). Behavioural intention and adoption of internet banking among clients’ of Islamic banks in Malaysia: an analysis using UTAUT2. Journal of Islamic Marketing, 13(5), 1171–1197. doi:10.1108/JIMA-11-2019-0228 Mohd Thas Thaker, M. A., Mohd Thas Thaker, H., & Allah Pitchay, A. (2018). Modeling crowdfunders’ behavioral intention to adopt the crowdfunding-waqf model (CWM) in Malaysia: The theory of the technology acceptance model. International Journal of Islamic and Middle Eastern Finance and Management, 11(2), 231–249. doi:10.1108/IMEFM-06-2017-0157 Sánchez Torres, J. A., & Arroyo-Cañada, F.-J. (2016). Diferencias de la adopción del comercio electrónico entre países. Suma de Negocios, 7(16), 141–150. doi:10.1016/j.sumneg.2016.02.008 Shahzad, K., Zhang, Q., Ashfaq, M., & Hafeez, M. (2022). The acceptance and continued use of blockchain technology in supply chain management : A unified model from supply chain professional’s stance. International Journal of Emerging Markets. doi:10.1108/IJOEM-11-2021-1714 Sukmana, R. (2022). Determinant factor of crowdfunders ’ behavior in using crowdfunding waqf model in Indonesia : Two competing models. Journal of Islamic Marketing, 14(7), 1793-1816. doi:10.1108/JIMA-08-2021-0246 Tamilmani, K., Rana, N. P., Prakasam, N., & Dwivedi, Y. K. (2019). The battle of Brain vs. Heart: A literature review and meta-analysis of “hedonic motivation” use in UTAUT2. International Journal of Information Management, 46, 222–235. doi:10.1016/j.ijinfomgt.2019.01.008 Venkatesh; Viaswanath, & Davis; Fred D. (2000). A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies. Management Science, 46(2), 186–204. Wamba, S. F., & Queiroz, M. M. (2019). The role of social influence in blockchain adoption: The Brazilian supply chain case. IFAC-PapersOnLine, 52(13), 1715–1720. doi:10.1016/j.ifacol.2019.11.448 Wang, E. S. T., & Chou, N. P. Y. (2014). Consumer characteristics, social influence, and system factors on online group-buying repurchasing intention. Journal of Electronic Commerce Research, 5(2), 119–132. Wijaya, F. M. (2023). Evaluasi Mobile Banking Adoption Intention di BCA dan Variabel-Variabel yang Mendukung Use Behavior. BALANCE: Economic, Business, Management and Accounting Journal, 20(1), 86-100. doi:10.30651/blc.v20i1.16381 Zhou, T., Lu, Y., & Wang, B. (2010). Integrating TTF and UTAUT to explain mobile banking user adoption. Computers in Human Behavior, 26(4), 760–767. doi:10.1016/j.chb.2010.01.013
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.., Mais, Fayez .. e Sanaa AL Mezawy. "Developing a Model to Improve the Efficiency of Maintenance Management for Service Buildings Using BIM and Power BI: A Case Study". International Journal of BIM and Engineering Science 8, n.º 1 (2024): 18–30. http://dx.doi.org/10.54216/ijbes.080102.

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Adopting Risk Management Professional Methodologies as an Effective Strategy to Protect Heritage Sites in Syria, International Journal of BIM and Engineering Science, Vol. 5, No. 1, pp: 61-72. [39] Saada, M. Aslan, H. (2022). The effectiveness of applying BIM in increasing the accuracy of estimating quantities for public facilities rehabilitation projects in Syria after the war, International Journal of BIM and Engineering Science, 5(2), pp: 08-1 [40] Mashali, A. El tantawi, A.,( 2022). BIM-based stakeholder information exchange (IE) during the planning phase in smart construction megaprojects (SCMPs). International Journal of BIM and Engineering Science, 5(1), pp. 08-19. [41] Dalloul. F. Saod. Lama,( 2023). Proposing a framework for introducing the concept of engineering digitization to develop curricula: case study - Tishreen University, Faculty of Civil Engineering. International Journal of BIM and Engineering Science (IJBES) Vol. 06, No. 01, PP. 34-51, 2023 [42] Al Mezawy,S; Jrad,F;Maya,R.(2023).Methodology to Improve Efficiency of Maintenance Management for Service Building Using Business Intelligence .Damascus University Journal for The Engineering Sciences ,12. [43] Saleh ,F, H., Elhendawi , A Darwish.A,S. and Farell, P.,( 2024). An ICT-based Framework for Innovative Integration between BIM and Lean Practices Obtaining Smart Sustainable Cities. Al-Rasheed International Private University International Journal of BIM and Engineering Science, 2(2), pp.68-75. [44] Fawaz Saleh, Ashraf Elhendawi, Abdul Salam Darwish, Peter Farrell. (2024). A Framework for Leveraging the Incorporation of AI, BIM, and IoT to Achieve Smart Sustainable Cities. Journal of Journal of Intelligent Systems and Internet of Things, 11 (2), 75- 84 (Doi: https:doi.org10.54216JISIoT.110207) [45] Evans, M., Farrell, P., Elbeltagi, E., Mashali, A. and Elhendawi, A., 2020. Influence of partnering agreements associated with BIM adoption on stakeholder's behaviour in construction mega-projects. International Journal of BIM and Engineering Science, 3(1), pp.1-20 [46] Elgendi, A.F., Elhendawi, A., Youssef, W.M.M. and Darwish, A.S., 2021. The Vulnerability of the Construction Ergonomics to Covid-19 and Its Probability Impact in Combating the Virus. International Journal of BIM and Engineering Science, 4(1), pp.01- 19. [47] Ahmed, S., Dlask, P., Selim, O. and Elhendawi, A., 2018. BIM Performance Improvement Framework for Syrian AEC Companies. International Journal of BIM and Engineering Science, 1(1), pp.21-41
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Charles, Sally, e Hilary Nicoll. "Aberdeen, City of Culture?" M/C Journal 25, n.º 3 (27 de junho de 2022). http://dx.doi.org/10.5204/mcj.2903.

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Introduction This article explores the phenomenon of the Creative City in the context of Aberdeen, Scotland’s third-largest city. The common perception of Aberdeen is likely to revolve around its status, for the last 50 years, as Europe’s Oil & Gas Capital. However, for more than a decade Aberdeen’s city planners have sought to incorporate creativity and culture in their placemaking. The most visible expression of this was the unsuccessful 2013 bid to become the UK City of Culture 2017 (CoC), which was referred to as a “reality check” by Marie Boulton (BBC), the councillor charged with the culture portfolio. This article reviews and appraises subsequent policies and actions. It looks at Aberdeen’s history and its current Cultural Strategy and how events have supported or inhibited the reimagining of Aberdeen as a Creative and Cultural City. Landry’s “Lineages of the Creative City” tracks the rise in interest around culture and creative sectors and highlights that there is more to the creative city than economic growth, positing that a creative city is a holistic environment in which “ordinary people can make the extra-ordinary happen” (2). Comunian develops Landry’s concept of hard (infrastructural) assets and soft (people and activity) assets by introducing Complexity Theory to examine the interactions between the two. Comunian argues that a city should be understood as a complex adaptive system (CAS) and that the interconnectivity of consumption and production, micro and macro, and networks of actors must be incorporated into policy thinking. Creating physical assets without regard to what happens in and around them does not build a creative city. Aberdeen: Context and History Important when considering Aberdeen is its remoteness: 66 miles north of its closest city neighbour Dundee, 90 miles north of Edinburgh and 125 miles north-east of Glasgow. For Aberdonians travel is a necessity to connect with other cultural centres whether in Scotland, the UK, Europe, or further afield, making Aberdeen’s nearly 900-year-old port a key asset. Sitting at the mouth of the River Dee, which marks Aberdeen’s southern boundary, this key transport hub has long been central to Aberdeen’s culture giving rise to two of the oldest established businesses in the UK: the Port of Aberdeen (1136) and the Shore Porter’s Society (1498). Fishing and trade with Europe thrived and connections with the continent led to the establishment of Aberdeen’s first university: King’s College (Scotland’s third and the UK’s fifth) in 1495. A second, Marischal College, was established in 1593, joining forces with King’s in 1860 to become the University of Aberdeen. The building created in 1837 to house Marischal College is the second-largest granite building in the world (VisitAberdeenshire, Marischal) and now home to Aberdeen City Council (ACC). Robert Gordon University (RGU), awarded university status in 1992, grew out of an institution established in 1729 (RGU, Our History); this period marked the dawning of the Scottish Enlightenment when Aberdeen’s Wise Club were key to an intellectual discourse that changed western thinking (RSA). Gray’s School of Art, now part of RGU, was established in 1885, at the same time as Aberdeen Art Gallery which holds a collection of national significance (ACC, Art Gallery). Aberdeen’s northern boundary is marked by its second river, the River Don, which has also contributed to the city’s history, economics, and culture. For centuries, paper and woollen mills, including the world-famous Crombie, thrived on its banks and textile production was the city’s largest employer, with one mill employing 3,000 staff (P&J, Broadford). While the city and surrounds have been home to notable creatives, including writers Lewis Grassic Gibbon and Lord Byron; musicians Annie Lennox, Dame Evelyn Glennie, and Emeli Sandé; fashion designer Bill Gibb and dancer Michael Clark, it has struggled to attract and retain creative talent, and there is a familiar exodus of art school graduates to the larger and more accepted creative cities of Glasgow, Edinburgh, and London. In 2013, at the time of the CoC bid, ACC recognised that creative industries graduates leaving the city was “a serious issue” (ACC, Cultural Mapping 1). The City of Culture Bid This recognition came at a time when ACC acknowledged that Aberdeen, with already low unemployment, required an influx of workforce. An ACC document (Cultural Mapping) cites Richard Florida’s proposal that a strong cultural offer attracts skilled workers to a city, adding that they “look for a lively cultural life in their choice of location” (7) and quoting an oil executive: “our poor city centre is often cited as a major obstacle in attracting people” (7). Changing the image of the city to attract new residents appears to have been a key motivation for the CoC bid. The CoC assessor noted this in their review of the bid, citing a report that 120,000 recruits were required in the city and agreeing that Aberdeen needed to “change perceptions of the city to retain and attract talent” (Regeneris 1). Aberdeen’s CoC bid was rejected at the first shortlisting stage, with feedback that the artistic vision “lacked depth” and “that cultural activity in the city was weaker than in several other bidding areas” (Regeneris 3). In an exploration of the bidding process, McGillivray and Turner highlight two factors which link to other concerns and feedback about the bid. Firstly, they compare Aberdeen’s choice of a Bid Manager from the business community with Paisley’s choice of one from their local arts sector in their bid for CoC 2021, which was successful in being shortlisted, highlighting different motivators behind the bids. Secondly, Aberdeen secured a bid team member from “Pafos’s bid to be 2017 European Capital of Culture (ECC), who subsequently played an important role” for Kalamata’s 2021 ECC bid (41), showing Aberdeen’s reluctance to develop local talent. A Decade of Investment ACC responded to the “reality check” with a series of investments in the hard assets of the city. Major refurbishment of two key buildings, the Music Hall and the Art Gallery, caused them both to be closed for several years, significantly diminishing the cultural offer in the city. The Music Hall re-opened in 2018 (Creative Scotland) and the Art Gallery in 2019 (McLean). In 2021, the extended and updated Art Gallery was named “Scotland’s building of the year” by the Royal Incorporation of Architects in Scotland (RIAS) (Museums Association). Concurrent with this was the development of “Europe’s largest new events complex, TECA [now P&J live] part financed through a £370 million stock market bond issue” (InvestAberdeen). Another cultural asset of the city which has been undergoing a facelift since 2019 is Union Terrace Gardens (UTG), the green heart of the city centre, gifted to the public in 1877. The development of this asset has had a chequered history. In 2008 it had been awarded “funding from Aberdeen Council (£3 million), the Scottish Arts Council (£4.3M) and Scottish Enterprise (£2 million)” (Aberdeenvoice) to realise a new multi-disciplinary contemporary art centre to be called ‘Northern Light’ and housed in a purpose-designed building (Brizac Gonzalez). The project, led by Peacock Visual arts, a printmaking centre of excellence and gallery founded in 1974, had secured planning permission. It would host Peacock Visual Arts, City Moves dance company, and the ACC arts development team. It echoed similar cultural partnership approaches, such as Dundee Contemporary Arts, although notably without involvement from the universities. Three months later, a counterbid to radically re-think UTG as a vast new city square was proposed by oil tycoon Sir Ian Wood, who backed the proposal with £50 million of his own funds, requiring matching finance by the city and ownership of the Gardens passing to private hands. Resistance to these plans came from ‘Friends of UTG’, and a public consultation was held. ACC voted to adopt Wood’s plans and drop those of Peacock, but a change of administration in the local authority overturned Wood’s plans in August 2012. A significant portion of the funding granted to the Northern Lights project was consumed in the heated public debate and the remainder was lost to the city, as was the Wood money, providing a highly charged backdrop to the CoC bid and an unfortunate divide created between the business and culture sectors that is arguably still discernible in the city today. According to the Aberdeen & Grampian Chamber of Commerce (AGCC) 2022 Investment Tracker, the nearly complete UTG transformation has cost £28.3m. The AGCC trackers since 2016 provide a useful reference for a wider view of investment in the region over this period. During this period, ACC commissioned two festivals: Spectra (ACC, Culture Programme 5), a festival of light curated by a Manchester-based organisation, and NuArt (VisitAberdeenshire, Nuart), a street-art festival curated by a Stavanger-based team. Both festivals deliver large-scale public spectacles but have little impact on the development of the cultural sector in the city. The drivers of footfall, income generation, and tourism are key motivators for these festivals, supporting a prevailing narrative of cultural consumption over cultural production in the city, despite Regeneris’s concerns about “importing of cultural activity, which might not leave behind a cultural sector” (1) and ACC’s own published concerns (ACC, Cultural Mapping). It is important to note that in 2014 the oil and gas industry that brought prosperity to Aberdeen was severely impacted upon by a drop in price and revenue. Many jobs were lost, people left the city, and housing prices, previously inflated, fell dramatically. The attention of the authorities turned to economic regeneration of the city and in 2015, the Aberdeen City Region Deal (UK Gov), bringing £250m to the region, (REF) was signed between the UK Government, Scottish Government, ACC, Aberdeenshire Council, and Opportunity North East (ONE). ONE “is the private sector leader and catalyst for economic diversification in northeast Scotland” with board members from industry, enterprise, AGCC, the councils, the universities, the harbour, and NHS. ONE focuses on five ‘pillars’: Digital Technology, Energy, Life Sciences, Tourism and Food, and Drink & Agriculture. A Decade of Creativity and Cultural Development Aberdeen’s ambitious cultural capital infrastructure spending of the last decade has seen the creation or refurbishment of significant hard assets in the city. The development of people (Cohendet et al.), the soft assets that Landry and Comunian agree are essential to the complex system that is a Creative City, has also seen development over this time. In 2014, RGU commissioned a review of Creative Industries in the North East of Scotland. The report notes that: the cultural sector in the region is strong at the grass roots end, but less so the higher up the scale it goes. There is no producing theatre, and no signature events or assets, although the revitalised art gallery might provide an opportunity to address this. (Ekos 2) This was followed by an international conference at which other energy cities (Calgary, Houston, Perth, and Oslo) presented their culture strategies, providing useful comparators for Aberdeen and a second RGU report (RGU, Regenerating). A third report, (RGU, New North), set out a vision for the region’s cultural future. The reports recommend strategy, leadership, and vision in the development of the cultural and creative soft assets of the region and the need to create conditions for graduate and practitioner retention. Also in 2014, RGU initiated the Look Again Festival of Art and Design, an annual festival to address a gap in the city festival roster and meet a need arising from the closure of both Art Gallery and Music Hall for refurbishment. The first festival took place in 2015 with a weekend-long public event showcasing a series of thought-provoking installations and events which demonstrated a clear appetite amongst the public and partner organisations for more activity of this type. Between 2015 and 2019, the festivals grew from strength to strength and increased in size and ambition, “carving out a new creative community in Aberdeen” (Williams). The 2019 festival involved 119 creatives, the majority from the region, and created 62 paid opportunities. Look Again expanded and became a constant presence and vehicle for sectoral and skills development, supporting students, graduates, volunteers, and new collectives, focussing on social capital and the intangible creative community assets in the city. Creative practitioners were supported with a series of programmes such as ‘Cultivate’ (2018), funded by Creative Scotland, that provided mentoring to strengthen business sustainability and networking events to improve connectivity in the sector. Cultivate also provided an opportunity to undertake further research, and a survey of over 100 small and micro creative businesses presented a view of a tenacious sector, committed to staying in the region but lacking structured and tailored support. The project report noted consistent messages about the need for “a louder voice for the sector” and concluded that further work was needed to better profile, support, and connect the sector (Cultivate 15). Comunian’s work supports this call to give greater consideration to the interplay of the agents in the creation of a strong creative city. In 2019, Look Again’s evolving role in creative sector skills development was recognised when they became part of Gray’s School of Art. A partnership quickly formed with the newly created Entrepreneurship & Innovation Group (EIG), a team formed within RGU to drive entrepreneurial thinking across all schools of the university. Together, Look Again and EIG ran a Creative Accelerator which became a prototype for a validated Creative Entrepreneurship post-graduate short-course that has supported around 120 creative graduates and practitioners with tailored business skills, contextual thinking, and extended peer networks. Meanwhile, another Look Again collaboration with the newly re-opened Art Gallery provided pop-up design events that many of these small businesses took part in, connecting them with public-facing retail opportunities and, for some, acquisitions for the Gallery’s collection. Culture Aberdeen During this time and after a period of public consultation, a new collaborative group, ‘Culture Aberdeen’, emerged. Membership of the group includes many regional cultural and arts organisations including ACC, both universities, and Aberdeen Civic Forum, which seeks “to bring the voice and views of all communities to every possible level of decision making”. The group subsequently published Culture Aberdeen: A Culture Strategy for the City of Aberdeen 2018-2028, which was endorsed by ACC in their first Cultural Investment Impact Report. The strategy sets out a series of cultural ambitions including a bid to become a UNESCO Creative City, establishing an Aberdeen Biennale, and becoming a national centre of excellence for an (unspecified) artform. This collaboration brings a uniting vision to Aberdeen’s creative activity and places of culture and presents a more compelling identity as a creative city. It also begins to map to Comunian’s concept of CAS and establish a framework for realising the potential of hard assets by strategically envisioning and leading the agents, activities, and development of the city’s creative sector. Challenges for Delivery of the Strategy In delivering a strategy based on collaborative efforts, it is essential to have shared goals and strong governance “based on characteristics such as trust, shared values, implicit standards, collaboration, and consultation” (Butcher et al. 77). Situations like Aberdeen’s tentative bid for UNESO Creative City status, which began in late 2018 but was halted in early 2019, suggest that shared goals and clear governance may not be in place. Wishing to join other UNESCO cities across Scotland – Edinburgh (Literature), Glasgow (Music), and Dundee (Design) –, Aberdeen had set its sights on ‘City of Craft and Folk Art’; that title subsequently went to the city of Perth in 2022, limiting Aberdeen’s future hopes of securing UNESCO Creative City status. In 2022, Aberdeen is nearly halfway through its strategy timeline; to achieve its vision by 2028, the leadership recommended in 2014 needs to be established and given proper authority and backing. Covid-19 has been particularly disruptive for the strategy, arriving early in its implementation and lasting for two years during which collaborators have, understandably, had to attend to core business and crisis management. Picking up the threads of collaborative activity at the same time as ‘returning to normal’ will be challenging. The financial impacts of Covid-19 have also hit arts organisations and local councils particularly hard, creating survival challenges that displace future investment plans. The devastation caused to city centres across the UK as shops close and retail moves online is keenly felt in Aberdeen. Yet the pandemic has also seen the growth of pockets of new activity. With falling demand for business space resulting in more ‘meanwhile spaces’ and lower rents, practitioners have been able to access or secure spaces that were previously prohibitive. Deemouth Artists’ Studios, an artist-run initiative, has provided a vital locus of support and connectivity for creatives in the city, doubling in size over the past two years. ‘We Are Here Scotland’ arrived in response to the resurgent Black Lives Matter movement in 2020, as a Community Interest Company initiated in Aberdeen to support black creatives and creatives of colour across Scotland. Initiatives such as EP Spaces that re-purpose empty offices as studios have created a resource, albeit precarious, for scores of recent creative graduates, supporting an emerging creative community. The consequences of the pandemic for the decade of cultural investment and creative development are yet to be understood, but disrupted strategies are hard to rekindle. Culture Aberdeen’s ability to resolve or influence these factors is unclear. As a voluntary network without a cohesive role or formal status in the provision of culture in the city, and little funding and few staff to advocate on its behalf, it probably lacks the strength of leadership required. Nevertheless, work is underway to refresh the strategy in response to the post-pandemic needs of the city and culture, and the Creative Industries more broadly, are, once again, beginning to be seen as part of the solution to recovery as new narratives emerge. There is a strong desire in the city’s and region’s creative communities to nurture, realise, and retain emerging talent to authentically enrich the city’s culture. Since the 2013 failed CoC bid, much has been done to rekindle confidence and shine a light on the rich creative culture that exists in Aberdeen, and creative communities are gaining a new voice for their work. Considerable investment has been made in hard cultural assets; however, continued investment in and commitment to the region’s soft assets is needed. This is the only way to ensure the sustainable local network of activity and practice that can provide the vibrant creative city atmosphere for which Aberdeen has the potential. References Aberdeen Civic Forum. 4 June 2022 <https://civicforumaberdeen.com/about/>. Aberdeen City Region Deal. 5 June 2022 <https://www.gov.uk/government/publications/city-deal-aberdeen-city-region>. Aberdeen Timelines. 24 Feb. 2022 <https://localhistories.org/a-timeline-of-aberdeen/> and <http://www.visitoruk.com/Aberdeen/13th-century-T339.html>. ACC. "Aberdeen Art Gallery." 19 Mar. 2022 <https://www.aberdeencity.gov.uk/AAGM/plan-your-visit/aberdeen-art-gallery>. ———. “Aberdeen City Council Investment in Culture; 2018/19 Impacts.” 19 Mar. 2022 <https://www.aberdeencity.gov.uk/sites/default/files/2019-12/Aberdeen%20City%20Culture%20Report%202019%20.pdf>. ———. “Aberdeen City Council Cultural Mapping of Aberdeen; Final Report, July 2013.” 3 June 2022 <https://www.aberdeencity.gov.uk/sites/default/files/2020-10/FOI-19-1479%20-%20Cultural%20Strategy.pdf>. ———. “Culture Programme 2014 – 2019.” 2014. 6 June 2022 <ABERDEEN CITY COUNCIL>. AGCC. 2022 Tracker. 3 Jun. 2022 <https://www.agcc.co.uk/images/Investment-Tracker-2022-Online-final.pdf>. ———. 2019 Tracker. 3 Jun. 2022 <https://www.agcc.co.uk/files/investment-tracker-2019.pdf>. ———. 2018 Tracker. 3 Jun. 2022 <https://www.agcc.co.uk/files/Investment-Tracker-Sep-2018.pdf>. ———. 2017 Tracker. 3 Jun. 2022 <https://www.agcc.co.uk/files/Investment-Tracker-Sep-2017.pdf>. ———. 2016 Tracker. 3 Jun. 2022 <https://www.agcc.co.uk/files/Investment-Tracker-Nov-2016.pdf>. BBC. “Aberdeen City of Culture Bid ‘Lacked Vision’.” 2013. 10 May 2022 <https://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-23371660>. Brisac Gonzalez. 6 June 2022 <http://www.brisacgonzalez.com/aberdeen1>. Butcher, John R., David J. Gilchrist, John Phillimore, and John Wanna. “Attributes of Effective Collaboration: Insights from Five Case Studies in Australia and New Zealand.” Policy Design and Practice 2.1 (2019). 19 Mar. 2022 <https://doi.org/10.1080/25741292.2018.1561815>. Cohendet, Patrick, David Grandadam, and Laurent Simon. “The Anatomy of the Creative City.” Industry and Innovation 17.1 (2010). 19 Mar. 2022 <https://doi.org/10.1080/13662710903573869>. Comunian, Roberta. “Rethinking the Creative City: The Role of Complexity, Networks and Interactions in the Urban Creative Economy.” Urban Studies 48.6 (2011) 1157-1179. Creative Scotland. “Cultivate: Look Again’s Creative Industries Development Programme in North East Scotland.” 24 Feb. 2022 <https://www.creativescotland.com/explore/read/stories/features/2019/cultivate-look-agains-creative-industries-development-programme-in-north-east-scotland>. ———. “Restored and Re-Imagined Aberdeen Music Hall to Open to the Public in December.” 2018. 19 Mar. 2022 <https://www.creativescotland.com/what-we-do/latest-news/archive/2018/10/restored-and-re-imagined-aberdeen-music-hall-to-open-to-the-public-in-december>. Cultivate. “Cultivate: Creative Industries in the North East.” 10 May 2022 <https://static1.squarespace.com/static/5bd1cecc8155121e0614281b/t/5ef49de0036c70345dabc378/1593089519746/ CULTIVATE_project+report+2018.pdf>. Culture Aberdeen. “A Cultural Strategy for the City of Aberdeen 2018-2028.” 24 Feb. 2022 <https://www.cultureaberdeen.org/>. Deemouth Artist Studios. 5 June 2022 <https://www.deemouthartiststudios.co.uk/>. Ekos. “Creative Industries in North East Scotland.”. 2014. 10 May 2022 <https://www3.rgu.ac.uk/download.cfm?downloadfile=6117EE60-FB84-11E3-80660050568D00BF&typename=dmFile&fieldname=filename>. EP Spaces. 5 June 2022 <https://www.craftscotland.org/community/opportunity/low-cost-studio-spaces-ep-spaces--978>. First Group. The First Group Timeline. 24 Feb. 2022 <https://www.firstgroupplc.com/about-firstgroup/our-history.aspx>. Florida, Richard. The Rise of the Creative Class: And How It’s Transforming Work, Leisure, Community and Everyday Life. New York: Basic Books 2002. Investaberdeen. “The UK’s Most Sustainable Venue.” 24 Feb. 2022 <https://investaberdeen.co.uk/flagship-projects/the-event-complex-aberdeen-(teca)>. Landry, Charles. “Lineages of the Creative City.” 24 Feb. 2022 <http://charleslandry.com/panel/wp-content/uploads/downloads/2013/03/Lineages-of-the-Creative-City.pdf>. McGillivray, David, and Turner, Daniel. Event Bidding: Politics, Persuasion and Resistance. Abingdon: Routledge 2018. McLean, Pauline. “Aberdeen Art Gallery Reopens after £34.6m Revamp.” BBC News, 2019. 24 Feb. 2022 <https://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-50263849>. Museums Association. “Aberdeen Art Gallery Wins Architecture Award.” 24 Feb. 2022 <https://www.museumsassociation.org/museums-journal/news/2021/11/aberdeen-art-gallery-wins-architecture-award/#>. Opportunity North East (ONE). 5 June 2022 <Who We Are | ONE (opportunitynortheast.com)>. P&J. “12 Pictures Show the ‘Golden Age’ of Broadford Works.” 2015. 24 Feb. 2022 <https://www.pressandjournal.co.uk/fp/news/591034/12-memorable-pictures-rolling-back-through-the-years-of-the-broadford-works/>. ———. History. 10 May 2022 <https://www.britishnewspaperarchive.co.uk/titles/aberdeen-press-and-journal>. Peacock Visual Arts. 6 June 2022 <https://peacock.studio/>. Port of Aberdeen. 24 Feb. 2022 <http://aberdeen-harbour.co.uk/about-us/history/#:~:text=Aberdeen%20Harbour%20was%20established%20in,has%20spanned%20almost%20900%20years>. Regeneris Consulting. “Aberdeen: Initial Bid for UK City of Culture – Feedback Points: UK City of Culture 2017.” 3 June 2022 <https://www.whatdotheyknow.com/request/297184/response/736087/attach/3/2017%20pt%201.pdf>. RGU. “Creative Accelerator Programme.” 2019. 10 May 2022 <https://www.rgu.ac.uk/news/news-2019/1902-rgu-launches-accelerator-to-support-next-generation-of-creatives>. ———. "Our History." 24 Feb. 2022 <https://www.rgu.ac.uk/about/our-history>. ———. “Creating a New North.” 2014. 10 May 2022 <https://www3.rgu.ac.uk/file/creating-a-new-north-pdf-1-7-mb>. ———. “Regenerating Aberdeen: A Vision for a Thriving and Vibrant City Centre.” 2014. 10 May 2022 <https://rgu-repository.worktribe.com/output/248420/regenerating-aberdeen-a-vision-for-a-thriving-and-vibrant-city-centre>. RSA. “The Scottish Enlightenment and the Aberdeen Wise Club.” 2020. 24 Feb. 2022 <The Scottish Enlightenment and the Aberdeen Wise Club - RSA (thersa.org)>. Scottish Government. Creative Industries Policy Statement. 2019. 10 May 2022 <https://www.gov.scot/publications/policy-statement-creative-industries/>. Shore Porters Society. 24 Feb. 2022 <https://www.scotland.org/about-scotland/facts/worlds-oldest-transport-business>. UK Government. “City Deal: Aberdeen City Region.” 6 June 2022 <https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fassets.publishing.service.gov.uk%2F government%2Fuploads%2Fsystem%2Fuploads%2Fattachment_data%2F file%2F576627%2FAberdeen_City_Region_Deal_.docx&wdOrigin=BROWSELINK>. University of Aberdeen. 3 June 2022 <https://www.abdn.ac.uk/about/history/our-history.php>. Visit Aberdeenshire. "Marischal College." 5 June 2022 <https://www.visitabdn.com/listing/marischal-college#:~:text=Marischal%20College%20is%20said%20to,more%20austere%20architecture%20(1837)>. Visit Aberdeenshire. "NuArt Aberdeen." 5 June 2022 <https://www.visitabdn.com/listing/nuart-aberdeen#:~:text=Originating%20in%20Norway%20in%202001,public%20art%20event%20to%20Aberdeen>. Williams, Eliza. “How the Look Again Festival Is Carving Out a New Creative Community in Aberdeen.” Creative Review (2019). 3 June 2022 <https://www.creativereview.co.uk/how-the-look-again-festival-is-carving-out-a-new-creative-community-in-aberdeen/>.
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Knorr, Charlotte, Christian Pentzold e Tabea Hallmann. "Press Sections in Online Newspapers (Formats and Genre)". DOCA - Database of Variables for Content Analysis, 6 de junho de 2024. http://dx.doi.org/10.34778/2zx.

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The following press sections are a collection that emerged from an inductive-deductive analysis of 26 periodicals from Germany, South Africa and the US. Overlaps on big topics were found and sub-topics assigned accordingly (Pentzold & Knorr, 2024). Field of Application/Theoretical Foundation Journalists usually publish their articles in topic-specific sections. The decision on the section, i.e., the journalistic placement within a thematic context, can already be seen as part of framing (preframing) on the part of the publishers, journalists and the recipients (Scheufele, 2004). Example studies: Pentzold & Knorr (2024) & Wessler et al. (2016) Information on Wesser et al., 2016 Authors: Hartmut Wessler, Antal Wozniak, Lutz Hofer, and Julia Lück Research questions: Which topics and frames as well as which visual elements such as photos, diagrams and graphics are present in the press reporting on climate change in the context of four UN climate conferences (2010-2013), in different countries and coming from different journalists? Object of analysis: A comparative issue-specific multimodal news frame analysis of climate change coverage around the UN Climate Change Conferences in Cancún, Mexico (COP 16, 2010), Durban, South Africa (COP 17, 2011), Doha, Qatar (COP 18, 2012), and Warsaw, Poland (COP 19, 2013). Both textual and visual content elements were analyzed and then incorporated into a joint cluster analysis. Time frame of analysis: Event-based sampling around the UN Climate Change Conferences in Cancún, Mexico (COP 16, 2010); Durban, South Africa (COP 17, 2011); Doha, Qatar (COP 18, 2012); and Warsaw, Poland (COP 19, 2013). Analyzed media type: Newspapers from five countries: Brazil (Folha de Sao Paolo, O Globo), Germany (Süddeutsche Zeitung, Frankfurter Allgemeine Zeitung), India (Times of India, The Hindu), South Africa (Daily Sun, The Star), the United States (New York Times, Washington Post) Information about variable: Variable/name definition: Section of newspaper / magazine / news website [Section] Scale: Nominal Level of analysis: News article Sample operationalization: The position of the press article was coded, referring to its placement in the overall press outlet (front page, inside the newspaper, commentaries etc. distinguishable by distinct layout features such as a different font for headlines and the naming of authors). Values: 1 Politics; 2 Economy / Business; 3 Opinion / Letters to the editor; 4 Culture & Arts / Feuilleton / Media; 5 Local news; 6 Science/Technology; 7 Environment; 8 Miscellaneous /Human interest; 9 Supplement with editorial responsibility of media outlet; 997 Other; 998 Unclear; 999 Not applicable Reliability: In sum, intercoder reliability achieved at least a .70 level (six coders). Codebook: Wessler et al. (2016) Information on Pentzold & Knorr, 2024 Authors: Christian Pentzold and Charlotte Knorr Research questions: With which imaginaries do journalistic reports make sense of Big Data? (RQ1) How do these imaginaries evolve over time? (RQ2) To what extent are the imaginaries similar or different across countries? (RQ3) Object of analysis [and analyzed media type]: The project Framing Big Data (DFG 2021-2024) analyzed the media-communicatively articulated frames on “Big Data” in online press aggregates of newspapers and magazines in three countries: South Africa, Germany and the United States. No visual material was collected or examined. In total, the coded press aggregates of 26 newspapers and magazines were analyzed. The period of collected press articles was from 2011 to 2020 (N=1,456 press articles). Hereby, the online press articles had to contain the keywords “big data” or “dataf*” (e.g., datafication, datafied) in the headline, sub-headline and/or first paragraph (inclusion criteria). Time frame of analysis: 2011, Jan 1 – 2020, Dec 31 Analyzed media type: Online press aggregates from newspapers and magazines in three countries: South Africa, Germany, and the United States. In sum, the coded press aggregates were sampled from 26 periodicals. Codebook: Public_Codebook_FBD_fin.pdf Information about the variable Variable name/definition: Press sections in online newspapers. This variable was created from a compilation of sections found in most newspapers, supplemented by newspaper-specific subsections. It is a comprehensive collection of all sections present in newspapers from three countries (Germany: Frankfurter Allgemeine Zeitung, Süddeutsche Zeitung, ZEIT online, WirtschaftsWoche, Handelsblatt, taz, Welt online, Spiegel online, wired, c’t; South Africa: NAG, The Star, Financial Mail, Business Day, Sunday Times, Brainstorm Magazine, Tech Central, Mail & Guardian, Stuff Magazine; USA: New York Times, Washington Post, Financial Times, Wall Street Journal, Forbes, Newsweek, Brainstorm). Since some newspapers – such as Süddeutsche Zeitung or The Star – have detailed sections for specific regions and others like Forbes, Stuff Magazine and Handelsblatt feature sections on specific technical/economic topics, all editorial sections were recorded by hand and manually bundled according to superordinate categories (e.g., Economics, Science, Success, Society) and subcategories to be able to map the characteristic sections across newspapers. The aim was to be able to also code sections that are specific to one magazine while assuring combability with the structure of other outlets. Scale: Nominal Level of analysis: Formal level (press article), coded as press product and as part of the discourse (formal variables, content variables; article unit) Sample operationalization: Code the press section that is depicted on the top of the article. Not every journal clearly depicts the section their articles are published in (especially online). Do not confuse key words with sections. Values: 1. Politics (domestic and foreign affairs, network policies, courts and law, fact checks); 2. Economics (Banks, Energy, Industry, Stocks, Taxes, Real Estate, Cars); 3. Technology/Science (Knowledge, Research, IT, Digital, Traffic and Mobility, Work, Ecology); 4. Business (Finances, Companies, Investments); 5. Culture (Media, Books, Movies, Art, Travel, Fashion, Food, Regional); 6. Society (Style, Discover, Research, Reports, Ideas, ZEITmagazin, ze.tt, Z2X, Podcasts, Feuilleton); 7. Opinion (Columns, Comments, Guest Articles, Debate) ; 8. Global Crisis (Ukraine, Covid-19, Climate change); 9. Success (Management, Coaching, Trends, Career, Job, Universities); 10. Health/Medicine; 11. Regional; 12. Headlines; 13. Sports; -97 not visible; -98 unclear; -99 not applicable (one code per news article) Reliability: α = 1.00 [Krippendorff’s alpha, intercoder reliability. A total of seven reliability tests were conducted, five of them during the coding phase and two as part of two pretests. Five coders were involved in four tests, four coders were involved in three tests. All tests were conducted in the period July 2022 to December 2022]. References Jasanoff, S. (2015). Future Imperfect. In S. Jasanoff & S. Kim (Eds.), Dreamscapes of Modernity (pp. 1–33). Chicago: University of Chicago Press. Pentzold, C. & Knorr, C. (2024). Making Sense of “Big Data”: Ten Years of Discourse Around Datafication (ICA 2024, 74th Conference, Gold Coast, Australia). Pentzold, C., & Knorr, C. (2021-2024). Framing Big Data (DFG). Leipzig University. Scheufele, B. (2004). Framing-effects approach: A theoretical and methodological critique. Communications, 29(4), 401–428. Wessler, H., Wozniak, A., Hofer, L., & Lück, J. (2016). Global Multimodal News Frames on Climate Change: A Comparison of Five Democracies around the World. The International Journal of Press/Politics, 21(4), 423–445. doi: 10.1177/1940161216661848
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Archer, Catherine, e Kate Delmo. "Play Is a Child’s Work (on Instagram)". M/C Journal 26, n.º 2 (25 de abril de 2023). http://dx.doi.org/10.5204/mcj.2952.

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Introduction Where children’s television once ruled supreme as a vehicle for sales of kids’ brands, the marketing of children’s toys now often hinges on having the right social media influencer, many of them children themselves (Verdon). As Forbes reported in 2021, the pandemic saw an increase in children spending more time online, many following their favourite influencers on YouTube, TikTok, and Instagram. The importance of tapping into partnering with the right influencer grew, as did sales in toys for children isolated at home. We detail, through a case study approach and visual narrative analysis of two Australian influencer siblings’ Instagram accounts, the nature of toy marketing to children in 2023. Findings point to the continued gendered nature of toys and the concurrent promotion of aspirational adult ‘toys’ (for example, cars, high-end cosmetics) and leisure pursuits that blur the line between what we considered to be children’s playthings and adult objects of desire. To Market, to Market Toys are a huge business worldwide. In 2021, the global toys market was projected to grow from $141.08 billion to $230.64 billion by 2028. During COVID-19, toy sales increased (Fortune Business Insights). The rise of the Internet alongside media and digital technologies has given toy marketers new opportunities to reach children directly, as well as producing new forms of digitally enabled play, with marketers potentially having access to children 24/7, way beyond the previous limits of children’s programming on television (Hains and Jennings). Children’s digital content has also extended to digital games alongside digital devices and Internet-connected toys. Children’s personal tablet ownership rose from less than 1 per cent in 2011 to 42 per cent in 2017 (Rideout), and continues to grow. Children’s value for brands and marketers has increased over time (Cunningham). The nexus between physical toys and the entertainment industry has grown stronger, first with the Disney company and then with the stand-out success of the Star Wars franchise (now owned by Disney) from the late 1970s (Hains and Jennings). The concept of transmedia storytelling and selling, with toys as the vehicle for children to play out the stories they saw on television, in comics, books, movies, and online, proved to be a lucrative one for the entertainment company franchises and the toy manufacturers (Bainbridge). All major toy brands now recognise the power of linking toy brands and entertaining transmedia children’s texts, including online content, with Disney, LEGO and Barbie being obvious examples. Gender and Toys: Boys and Girls Come Out to Play Alongside the growth of the children’s market, the gendering of children’s toys has also continued and increased, with concerns that traditional gender roles are still strongly promoted via children’s toys (Fine and Rush). Research shows that girls’ toys are socialising them for caring roles, shopping, and concern with beauty, while toys aimed at boys (including transportation and construction toys, action figures, and weapons) may promote physicality, aggression, construction, and action (Fine and Rush). As Blakemore and Center (632) suggested, then, if children learn from toy-play “by playing with strongly stereotyped toys, girls can be expected to learn that appearance and attractiveness are central to their worth, and that nurturance and domestic skills are important to be developed. Boys can be expected to learn that aggression, violence, and competition are fun, and that their toys are exciting and risky”. Recently there has been some pushback by consumers, and some toy brands have responded, with LEGO committing to less gendered toy marketing (Russell). YouTube: The World’s Most Popular Babysitter? One business executive has described YouTube as the most popular babysitter in the world (Capitalism.com). The use of children as influencers on YouTube to market toys through toy review videos is now a common practice (Feller and Burroughs; De Veirman et al.). These ‘reviews’ are not critical in the traditional sense of reviews in an institutional or legacy media context. Instead, the genre is a mash-up, which blurs the lines between three major genres: review, branded content, and entertainment (Jaakkola). Concerns have been raised about advertising disguised as entertainment for children, and calls have been made for nuanced regulatory approaches (Craig and Cunningham). The most popular toy review channels have millions of subscribers, and their hosts constitute some of YouTube’s top earners (Hunting). Toy review videos have become an important force in children’s media – in terms of economics, culture, and for brands (Hunting). Concurrently, surprise toys have risen as a popular type of toy, thanks in part to the popularity of the unboxing toy review genre (Nicoll and Nansen). Ryan’s World is probably the best-known in this genre, with conservative estimates putting 10-year-old Ryan Kanji’s family earnings at $25 million annually (Kang). Ryan’s World, formerly Ryan’s Toy Review, now has 10 YouTube channels and the star has his own show on Nic Junior as well as across other media, including books and video games (Capitalism.com). Marsh, through her case study of one child, showed the way children interact with online content, including unboxing videos, as ‘cyberflaneurs’. YouTube is the medium of choice for most children (now more so than television; Auxier et al.). However, Instagram is also a site where a significant number of children and teens spend time. Australian data from the e-Safety Commission in 2018 showed that while YouTube was the most popular platform, with 80 per cent of children 8-12 and 86 per cent of teens using the site, 24 per cent of children used Instagram, and 70 per cent of teens 13-17 (e-Safety Commissioner). Given the rise in social media, phone, and tablet use in the last five years, including among younger children, these statistics are now likely to be higher. A report from US-based Business Insider in 2021 stated that 40 per cent of children under 13 already use Instagram (Canales). This is despite the platform ostensibly only being for people aged 13 and over. Ofcom (the UK’s regulator for communications services) has discussed the rise of ‘Tik-Tots’ – young children defying age restrictions to be on social media – and the increase of young people consuming rather than sharing on social media (Ofcom). Insta-Kidfluencers on the Rise Marketers are now tapping into the selling power of children as social media influencers (or kidfluencers) to promote children’s toys, and in some cases, parents are happy to act as their children’s agents and managers for these pint-size prosumers. Abidin ("Micromicrocelebrity") was the first to discuss what she termed ‘micro-microcelebrities’, children of social media influencers (usually mothers) who have become, through their parents’ mediation, paid social media influencers themselves, often through Instagram. As Abidin noted: “their digital presence is deliberately commercial, framed and staged by Influencer mothers in order to maximize their advertorial potential, and are often postured to market even non-baby/parenting products such as fast food and vehicles”. Since that time, and with children now a growing audience on Instagram, some micro-microcelebrities have begun to promote toys alongside other brands which appeal to both children and adults. While initially these human ‘brand extensions’ of their mothers (Archer) appealed to adults, their sponsored content has evolved as they have aged, and their audience has grown and broadened to include children. Given the rise of Instagram as a site for the marketing of toys to children, through children themselves as social media influencers, and the lack of academic research on this phenomenon, our research looks at a case study of prominent child social media influencers on Instagram in Australia, who are managed by their mother, and who regularly promote toys. Within the case study, visual narrative analysis is used, to analyse the Instagram accounts of two high-profile child social media influencers, eleven-year-old Australian Pixie Curtis and her eight-year-old brother, Hunter Curtis, both of whom are managed by their entrepreneur and ‘PR queen’ mother, Roxy Jacenko. We analysed the posts from each child from March to July 2022 inclusive. Posts were recorded in a spreadsheet, with the content described, hashtags or handles recorded, and any brand or toy mentions noted. We used related media reports to supplement the analysis. We have considered ethical implications of our research and have made the decision to identify both children, as their accounts are public, with large follower numbers, promote commercial interests, and have the blue Instagram ‘tick’ that identifies their accounts as verified and ‘celebrity’ or brand accounts, and the children are regularly featured in mainstream media. The children’s mother, Jacenko, often discusses the children on television and has discussed using Pixie’s parties as events to gain publicity for the toy business. We have followed the lead of Abidin and Leaver, considered experts in the field, who have identified children and families in ethnographic research when the children or families have large numbers of followers (see Abidin, "#Familygoals"; Leaver and Abidin). We do acknowledge that other researchers have chosen not to identify influencer children (e.g., Ågren) with smaller numbers of followers. The research questions are as follows: RQ1: What are the toys featured on the two social media influencer children’s sites? RQ2: Are the toys traditionally gendered and if so, what are the main gender-based toys? RQ3: Do the children promote products that are traditionally aimed at adults? If so, how are these ‘toys’ presented, and what are they? Analysis The two child influencers and toy promoters, sister and brother Pixie (11) and Hunter (8) Curtis, are the children of celebrity, entrepreneur and public relations ‘maven’, Roxy Jacenko. Jacenko’s first business was a public relations firm, Sweaty Betty, one she ran successfully but has recently closed to focus on her influencer talent agency business, the Ministry of Talent, and the two businesses related to her children, Pixie’s Pix (an online toy store named after her daughter) and Pixie’s Bows, a line of fashion bows aimed at girls (Madigan). Pixie Curtis grew up with her own Instagram account, with her first Instagram post on 18 June 2013, before turning two, and featuring a promotion of an online subscription service for toys, with the hashtag #babblebox. At time of writing, Pixie has 120,000 Instagram followers; her ‘bio’ describes her account as ‘shopping and retail’ and as managed by Jacenko. Pixie is also described as the ‘founder of Pixie’s Pix Toy Store’. Her brother Hunter’s account began on 6 May 2015, with the first post to celebrate his first birthday. Hunter’s page has 20,000 followers with his profile stating that it is managed by his mother and her talent and influencer agency. RQ1: What are the toys featured on the two children’s Instagram sites? The two children feature toy promotions regularly, mostly from Pixie’s online toy shop, with the site tagged @pixiespixonline. These toys are often demonstrated by Pixie and Hunter in short video format, following the now-established genre of the toy unboxing or toy review. Toys that are shown on Pixie’s site (tagged to her toy store) include air-clay (clay designed to be used to create clay sculptures); a Scruff-a-Luv soft toy that mimics a rescue pet that needs to be bathed in water, dried, and groomed to become a ‘lovable’ soft toy pet; toy slime; kinetic sand; Hatchimals (flying fairy/pixie dolls that come out of plastic eggs); LOL OMG dolls and Mermaze (both with accentuated female/made up features). LOL OMG (short for Outrageous Millennial Girls) are described as “fierce, fashionable, fabulous” and their name taps into common language used to communicate while texting. Mermaze are also fashion and hair styling dolls, with a mermaid’s tail that changes colour in water. While predominantly promoting toys on Pixie’s Pix, Pixie posts promotions of other items on her Website aimed at children. This includes practical items such as lunch boxes, but also beauty products including a skin care headband and scented body scrubs. Toys shown on Hunter’s Instagram site are often promotions of his sister’s toy store offerings, but generally fall into the traditional ‘boys’ toys’ categories. The posts that tag the Pixie’s Pix store feature photos or video demonstrations by Hunter of toys, including trucks, slime, ‘Splat balls’ (squish balls), Pokémon cards, Zuru toys’ ‘Smashers’ (dinosaur eggs that are smashed to reveal a dinosaur toy), a Bubblegum simulator for Roblox (a social media platform and game), Needoh Stickums, water bombs, and Hot Wheels. RQ2: Are the toys traditionally gendered and if so, what are the main gender-based toys? Although both children promote gender-neutral sensory toys such as slime and splat balls, they do promote strongly gendered toys from Pixie’s Pix. Hunter also promotes gendered toys that are not tagged to Pixie’s Pix, including Jurassic World dinosaur toys (tying into the film release). One post by Hunter features a (paid) cross-promotion of PlayStation 5 themed Donut King donuts (with a competition to win a PlayStation 5 by buying the donuts). In contrast, Pixie posts a paid promotion of a high-tea event to promote My Little Ponies. Hunter’s posts of toys and leisure items that do not tag Pixie’s toyshop include him on a go-kart, buying rugby gear, and with an ‘airtasker’ (paid assistant) helping him sort his Nerf gun collection. There are posts of both children playing and doing ‘regular’ children’s activities, including sport (Pixie plays netball, Hunter rugby), with their dog, ice-skating, and swimming (albeit often at expensive resorts), while Hunter and Pixie both wear, unbox, and tag some high-end children’s clothes brands such as Balmain and promote department store Myer. RQ3: Do the children promote products that are traditionally aimed at adults? If so, how are these ‘toys’ presented, and what are they? The Cambridge dictionary provides the following two definitions of toys, with one showing that ‘toys’ may also be considered as objects of pleasure for adults. A toy is “an object for children to play with” while it can also be “an object that is used by an adult for pleasure rather than for serious use”. The very meaning of the word toys shows the crossover between the adult and children’s world. The more ‘adult’ products promoted by Pixie are highly gendered, with expensive bags, clothes, make-up, and skin care regularly featured on her account. These are arguably toys but also teen or adult objects of aspiration, with Pixie’s collection of handbags featured and the brand tagged. The bag collection includes brightly coloured bags by Australian designer Poppy Lissiman. Other female-focussed brands include a hairdryer brand, with photos and videos posted of Pixie ‘playing’ at dressing up and ‘getting ready’, using skincare, make-up, and hair products. These toys cater to age demographics older than Pixie. Hunter is pictured in posts on a jet-ski, and in others with a mobile and tablet, or washing a Tesla car and with a helicopter. The gendered tropes of girls being concerned with their appearance, and boys interested in vehicles, action, and competitive (video) games appear to be borne out in the posts from the two children. Discussion and Conclusion As an entrepreneur, Jacenko has capitalised on her daughter’s and son’s personal brands that she has co-created by launching and promoting a toyshop named after her daughter, following the success of her children’s promotion of toys for other companies and Pixie’s successful hairbow line. The toy shop arose out of Pixie promoting sales of fidget spinners during the pandemic lockdowns where toy sales rose sharply across the world. The children are also now on TikTok, and while they have a toy review channel on YouTube it has not been posted on for three years. Therefore, it is safe to assume that Instagram is one of the main channels for the children to promote the toyshop. In an online newspaper article describing the success of Pixie’s toyshop and the purchase of an expensive Mercedes car, Jacenko said that the children work hard, and the car was their “reward” (Scanlan). “The help both her brother and her [Pixie] give me on the buying (every night we work on new style selections and argue over it), the packing, the restocking, goes well beyond their years”, Jacenko is quoted as saying. “We’ve made a pact, we must keep going, work harder. Next, it’s a Rolls Royce.” Analysis of the children’s Instagram pages shows highly gendered promotion of toys. The children also promote a variety of high-end, aspirational tween, teen, and adult ‘toys’, including clothes, make-up, and skincare (Pixie) and expensive cars (Hunter and Pixie). Gender stereotyping has been found in adult influencer content (see, for example, Jorge et al.) and researchers have also pointed to sexualisation of young girl influencers on Instagram (Llovet et al.). Our research potentially echoes these findings. Posts from the children regularly include aspirational commodities that blur the lines between adult and child items of desire. Concerns have been raised in other academic articles (and in government reports) regarding the possible exploitation of children’s labour by parents and marketers to promote brands, including toys, on social media (see, for example, Ågren; De Veirman et al.; House of Commons; Masterson). The French government is believed to be the only government to have moved to regulate regarding the labour of children as social media influencers, and the same government at time of writing was debating laws to enshrine children’s right to privacy on social media, to stop the practice of ‘sharenting’ or parents sharing their children’s images and other content on social media without their children’s consent (Rieffel). Mainstream media including Teen Vogue (Fortesa), and some influencers themselves, have also started to raise issues relevant to ‘kidfluencers’. In the state of Utah, USA, the government has introduced laws to stop children under 18 having access to social media without parents’ consent, although some view this as potentially having some negative impacts (Singer). The ethics and impact of toy advertorials on children by social media influencers, with little or no disclosure of the posts being advertisements, have also been discussed elsewhere (see, for example, House of Commons; Jaakkola), with Rahali and Livingstone offering suggestions aimed key stakeholders. It has been found that beyond the marketing of toys and adult ‘luxuries’ to kids, other products that potentially harm children (for example, junk food and e-cigarettes) are also commonly seen in sponsored content on Instagram and YouTube aimed at children (Fleming‐Milici, Phaneuf, and Harris; Smith et al.). Indeed, it could be argued that e-cigarettes have been positioned as playthings and are appealing to children. While we may bemoan the loss of innocence of children, with the children in this analysis posed by their entrepreneurial mother as purveyors of material goods including toys, it is useful to remember that perhaps it has always been a conundrum, given the purpose of toy marketing is to make commercial sales. Children’s toys have always reflected and shaped society’s culture, often with surprisingly sinister and adult overtones, including the origins of Barbie as a male ‘sex’ toy (Bainbridge) and the blatant promotion of guns and other weapons to boys (for example the famous Mattel ‘burp’ gun of the 50s and 60s), through advertising and sponsorship of television (Hains and Jennings). Recently, fashion house Balenciaga promoted its range of adult bags using children as models via Instagram – the bags are teddy bears dressed in bondage outfits and the marketing stunt caused considerable backlash, with the sexually dressed bears and use of children raising outrage (Deguara). Were these teddy bags framed as children’s toys for adults or adult toys for children? The line was blurred. This research has limitations as it is focussed on a case study in one country (but with global reach through Instagram). However, the current analysis is believed to be one of the first to focus on children’s promotion of toys through Instagram, by two children’s influencers, a relatively new marketing approach aimed at children. As the article was being finalised, the children’s mother announced that as Pixie was transitioning into high school and wanted to focus on her studies rather than running a business, the toy business would conclude but Pixie’s Bows would continue (Madigan). In the UK, recent research by Livingstone et al. for the Digital Futures Commission potentially offers a way forward related to this phenomenon, when viewed alongside the analysis of our case study. Their final report (following research with children) suggests a Playful by Design Tool that would be useful for designers and brands, but also children, parents, regulators, and other stakeholders. Principles such as adopting ethical commercial models, being age-appropriate and ensuring safety, make sense when applied to kidfluencers and those that stand to benefit from their playbour. It appears that governments, society, some academics, and the media are starting to question the current generally unrestricted frameworks related to social media in general (see, for example, the ACCC’s ongoing enquiry) and toy and other marketing by kids to kids on social media specifically (House of Commons). We argue that more frameworks, and potentially laws, are required in this mostly unregulated space. Through our case study we have highlighted key areas of concern on one of the world’s most popular platforms for children and teens, including privacy issues, commodification, and gendered and ‘stealth’ marketing of toys through ‘advertorials’. We also acknowledge that children do gain playful and social benefits and entertainment from seeing influencers online. Given that it has been shown that gendered marketing of toys (and increased focus on appearance for girls through Instagram) could be potentially harmful to children’s self-esteem, and with related concerns on the continued commodification of childhood, further research is also needed to discover the responses and views of children to these advertorials masquerading as cute content. References Abidin, Crystal. "Micromicrocelebrity: Branding Babies on the Internet." M/C Journal 18.5 (2015). <https://doi.org/10.5204/mcj.1022>. ———. "#Familygoals: Family Influencers, Calibrated Amateurism, and Justifying Young Digital Labor." 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"Characteristics of Boys' and Girls' Toys." Sex Roles 53 (2005): 619-33. Canales, Kate. "40% of Kids under 13 Already Use Instagram and Some Are Experiencing Abuse and Sexual Solicitation, a Report Finds, as the Tech Giant Considers Building an Instagram App for Kids." Business Insider 2021. <https://www.businessinsider.com/kids-under-13-use-facebook-instagram-2021-5>. Capitalism.com. "Ryan Kaji: Charismatic Kid Youtuber Played His Way to a Multi-Million Dollar Fortune." 26 Sep. 2022. <https://www.capitalism.com/ryan-kaji/>. Craig, et al. "Toy Unboxing: Living in an (Unregulated) Material World." Media International Australia 163.1 (2017): 77-86. Cunningham, Hugh. Children and Childhood in Western Society since 1500. Routledge, 2020. Deguara, Brittney. "Everything You Need to Know about Balenciaga's 'Disturbing' Ad Campaign." Kidspot 29 Nov. 2022. <https://www.kidspot.com.au/news/everything-you-need-to-know-about-balenciagas-disturbing-ad-campaign/news-story/cf89133794a3cc7fc20a70fdd68911f6>. De Veirman, Marijke, Liselot Hudders, and Michelle R. Nelson. "What Is Influencer Marketing and How Does It Target Children? A Review and Direction for Future Research." Frontiers in Psychology 10 (2019): 2685. E-Safety Commissioner. "Young People and Social Media Usage." 2018. <https://www.esafety.gov.au/research/youth-digital-dangers/social-media-usage>. Feller, Gavin, and Benjamin Burroughs. "Branding Kidfluencers: Regulating Content and Advertising on YouTube." Television & New Media 23.6 2022: 575-92. Fine, Cordelia, and Emma Rush. "'Why Does All the Girls Have to Buy Pink Stuff?' The Ethics and Science of the Gendered Toy Marketing Debate." Journal of Business Ethics 149 (2018): 769-84. Fleming‐Milici, Frances et al. "Prevalence of Food and Beverage Brands in 'Made‐for‐Kids' Child‐Influencer YouTube Videos: 2019–2020." Pediatric Obesity 2023: e13008. Fortune Business Insights. “Toys Market Size, Share & COVID-19 Impact Analysis, by Product Type (Dolls, Outdoor and Sports Toys, Building and Construction Set, Infant and Preschool Toys, Games & Puzzles, and Others), by Age Group (0-3 Years, 3-5 Years, 5-12 Years, 12-18 Years, and 18+ Years), by Distribution Channel (Online and Offline), and Regional Forecast, 2021-2028.” 2021. <https://www.fortunebusinessinsights.com/toys-market-104699>. Hains, Rebecca C., and Nancy A. Jennings. "Critiquing Children's Consumer Culture: An Introduction to the Marketing of Children's Toys." The Marketing of Children's Toys: Critical Perspectives on Children's Consumer Culture. Eds. Rebecca C. Hains and Nancy A. Jennings. Cham, Switzerland: Palgrave Macmillan, 2021. 1-20. House of Commons Digital, Culture, Media and Sport Committee UK. "Influencer Culture: Lights, Camera, Inaction?" 2022. <https://committees.parliament.uk/publications/28742/documents/173531/default/>. Hunting, Kyra. "Unwrapping Toy TV: Ryan’s World and the Toy Review Genre’s Impact on Children’s Culture." The Marketing of Children’s Toys: Critical Perspectives on Children’s Consumer Culture. Eds. Rebecca C. Hains and Nancy A. Jennings. Cham: Springer International, 2021. 105-24. Jaakkola, Maarit. "From Vernacularized Commercialism to Kidbait: Toy Review Videos on Youtube and the Problematics of the Mash-Up Genre." Journal of Children and Media 14.2 (2020): 237-54. Jorge, Ana, et al. "Parenting on Celebrities’ and Influencers’ Social Media: Revamping Traditional Gender Portrayals." Journalism and Media 4.1 (2023): 105-17. Kang, Jay Caspian. "The Boy King of YouTube." The New York Times Magazine 2022. <https://www.nytimes.com/2022/01/05/magazine/ryan-kaji-youtube.html>. Latifi, Fortesa. "Influencer Parents and the Kids Who Had Their Childhood Made into Content." Teen Vogue, 10 Mar. 2023. <https://www.teenvogue.com/story/influencer-parents-children-social-media-impact>. Leaver, Tama, and Crystal Abidin. "From YouTube to TV, and Back Again: Viral Video Child Stars and Media Flows in the Era of Social Media." Selected Papers of Internet Research (2018). Livingstone, Sonia, et al. "Digital Futures Commission – Final Report." 2023. <https://digitalfuturescommission.org.uk/wp-content/uploads/2023/03/DFC_report-online.pdf>. Llovet, Carmen, et al. "Are Girls Sexualized on Social Networking Sites? An Analysis of Comments on Instagram of Kristina Pimenova." Beyond the Stereotypes? Images of Boys and Girls, and Their Consequences. Eds. Dafna Lemish and Maya Götz. Göteborg: Nordicom, 2017. Madigan, Mary. “B&T Exclusive: Roxy Jacenko to Close Sweaty Betty by Month's End.” B&T 4 Nov. 2022. <https://www.bandt.com.au/bt-exclusive-roxy-jacenko-to-close-sweaty-betty-at-months-end/>. ———. "Roxy Jacenko’s Daughter Pixie Curtis Has Announced a Huge Life Change before Her 12th Birthday." News.com.au 21 Feb. 2023. <https://www.news.com.au/lifestyle/parenting/kids/roxy-jacenkos-daughter-pixie-curtis-has-announced-a-huge-life-change-before-her-12th-birthday/news-story/ff6fda8895d4a682eb0f1b9fd6c3311c>. Marsh, Jackie. "‘Unboxing’ Videos: Co-Construction of the Child as Cyberflâneur." Discourse: Studies in the Cultural Politics of Education 37.3 (2016): 369-80. Masterson, Marina A. "When Play Becomes Work: Child Labor Laws in the Era of ‘Kidfluencers’." University of Pa. Law Review 169 (2020): 577. Nicoll, Benjamin, and Bjorn Nansen. "Mimetic Production in Youtube Toy Unboxing Videos." Social Media + Society 4.3 (2018). Ofcom. "Living Our Lives Online – Top Trends from Ofcom’s Latest Research." 2022. <https://www.ofcom.org.uk/news-centre/2022/living-our-lives-online>. Rahali, Miriam, and Sonia Livingstone. "#SponsoredAds: Monitoring Influencer Marketing to Young Audiences." Media Policy Brief 23. London: Department of Media and Communications, London School of Economics and Political Sciences, 2022. <https://eprints.lse.ac.uk/113644/7/Sponsoredads_policy_brief.pdf>. Rieffel, Ysé. "French MPs Examine Bill on Children's Right to Privacy on Social Media." Le Monde 5 Mar. 2023. <https://www.lemonde.fr/en/france/article/2023/03/05/french-mp-proposes-bill-to-protect-children-s-privacy-on-social-media_6018268_7.html> Rideout, Victoria. "The Commonsense Census: Media Use by Kids Zero to Eight." 2017. <https://www.commonsensemedia.org/sites/default/files/research/report/csm_zerotoeight_fullreport_release_2.pdf>. Russell, Helen. "Lego to Remove Gender Bias from Its Toys after Findings of Child Survey." The Guardian 11 Oct. 2021. <https://www.theguardian.com/lifeandstyle/2021/oct/11/lego-to-remove-gender-bias-after-survey-shows-impact-on-children-stereotypes>. Scanlan, Rebekah. "Roxy Jacenko Buys Daughter, 9, $270,000 Car as Toy Business Booms." News.com.au 3 Aug. 2021. <https://www.news.com.au/lifestyle/real-life/news-life/roxy-jacenko-buys-daughter-9-270000-car-as-toy-business-booms/news-story/14bd181e6a24235f85276f16596d359a>. Singer, Natasha. "A Sweeping Plan to Protect Kids from Social Media." New York Times The Daily Podcast. Ed. Michael Barbaro. 2023. <https://www.nytimes.com/2023/03/27/podcasts/the-daily/social-media-instagram-tiktok-utah-ban.html>. Smith, Marissa J., et al. "User-Generated Content and Influencer Marketing Involving E-Cigarettes on Social Media: A Scoping Review and Content Analysis of YouTube and Instagram." BMC Public Health 23.1 (2023): 530. Verdon, Joan. "Santa’s Top Toy Sellers This Year Are Influencers." Forbes 14 Nov. 2021. <https://www.forbes.com/sites/joanverdon/2021/11/14/santas-top-toy-sellers-this-year-are-influencers/?sh=67621a7b1235>.
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7

Prabakar, Angel. "The History of Medical Ethics in India". Voices in Bioethics 8 (20 de novembro de 2022). http://dx.doi.org/10.52214/vib.v8i.10117.

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Photo by Naveed Ahmed on Unsplash ABSTRACT India has had a solid standard for medical ethics since the birth of Ayurvedic holistic science over 5000 years ago. The country’s views on healthcare policy, counsel on how to deal with patients, and what constitutes good behavior within the profession stem from ancient outlines for medical practice. These “codes of conduct” were heavily influenced by religious and spiritual practices, emphasizing the sanctity of life and transcending the needs of the body. With time, however, medical care evolved through shifting priorities in education and governmental pressures. These once-cherished “codes of conduct” were referred to less often, while malpractice issues have steadily increased. There is a need for an open discussion of why this spike in medical malpractice is happening in a country that used to condemn it and how improving ethics, limiting the role of profits, and returning traditional philosophies to the medical ethics curricula could help. INTRODUCTION Currently, India has the largest number of bioethics units of any country, reflecting the importance of ethical behavior in Indian society. These centers do not affiliate with schools, yet they serve as spaces for bioethical discourse. The Indian Psychiatric Society (IPS) was the first to address escalating malpractice cases. Other major medical organizations (e.g., the Indian Medical Association and the Medical Council of India) followed, stressing the importance of standardized ethics. Some have formed symposiums and organized conferences to address these concerns.[1] There have been several calls to revisit the classic “codes of conduct” and their focus on the spiritual concept of life-death-rebirth. Toward this end, modern Indian doctors were reminded that physicians existed not for fortune or status but for the welfare of their patients. These altruistic teachings came from the seminal Ayurvedic texts, the cornerstone of India’s modern medicine. Happiness for the “healer” was to come out of showing compassion for all living beings and prolonging the precious gift of life.[2] In contrast, Indian novelist, Shashi Tharoor, speaking on the current state of medical practice, recently remarked: “India is not an underdeveloped country, but a highly developed one in an advanced state of decay.”[3] Taking a closer look at what caused the core values of an ancient healthcare system to change so drastically involves evaluating how the Indian medical education system evolved. This paper examines the development of medical principles, their influence across the subcontinent, commercialization, and the government’s role in India’s healthcare instability. This paper then lists some of the measures taken by bioethical units to counteract some of the issues brought on by corruption. l. Western Influence Western influence on medical practices came when the French, Portuguese, and British arrived in India. They almost completely reinvented India’s healthcare system. Medical ethics based on the values of spirituality were almost completely stripped away and replaced by Western concepts.[4] Established traditional ethical standards were no longer taught, resulting in less deference to traditional moral beliefs. Coupled with an increase in medical misconduct, the general population lost trust in their healthcare leaders.[5] Before the influence of Western medicine, the Carakha Sumhita, a millennia-old Sanskrit text detailing Ayurveda, helped establish healthcare guidelines. A passage from the text sums up the ethics of that time: “He who practices medicine out of compassion for all creatures, rather than for gain or for gratification of the senses, surpasses all.”[6] The Carakha Sumhita’s focus on medical ethics was ahead of its time, centuries before bioethics became a subject in its own right. Healthcare was predicated on aphorisms that all medical students internalized rather than on business models, as in many developed nations. India’s caste system, established generations ago, permeated every aspect of South Asian society except for when it came to medicine. Healers tended to ignore the conventions of adhering to an individual’s caste. Instead, they treated patients as if they were family and incorporated elements of spirituality when dealing with patients, making ethical misconduct a rare phenomenon. This was the case for almost two centuries.[7] To become practicing physicians, doctors committed to a consecration ceremony to prove their good moral standing to the people they were to serve.[8] Their schooling prepared them for a profession designed to “give back,” not for monetary gain. The core values taught in medical school affect the mentality doctors carry with them. The lack of ethics training may have been at fault for the underlying corruption levels that now plague the healthcare space in India. There is a 110 percent increase in the rise of medical negligence cases in India every year.[9] To pinpoint why this occurred, we must look at current medical training practices and how they influence doctors of our time period. After colonization, many established core values were stripped from the medical curriculum.[10] In fact, by 1998, only one medical college in India, St. John’s in Bangalore, even addressed medical ethics in its curriculum.[11] Graduates across the country were left ill-equipped to deal with the ethical issues that cropped up once they made it into the field. As a result, they were not prepared to think through consequences pertaining to patients and their families. Some suggest that the curriculum changes were linked to rising malpractice cases. “When society at large is corrupt and unethical, how can you expect doctors to be honest?”[12] This topic arises regularly in bioethics discussions and the answer lies in education. Reverting to a system of medicine that encourages students to recognize ethical consequences can solve many of the ethical problems in contemporary society. ll. Privatization and Tuition Some argue that the global increase in capitalism caused the subcontinent’s ethical problems, that the Indian medical education system began its descent into corruption and nepotism, and its loss in prestige, with the privatization of their colleges.[13] In India, just over 50 percent of medical schools are public, and just under 50 percent are private.[14] Through changing policies, private medical schools became increasingly for-profit like other businesses.[15] Despite having more medical schools than any other country, India has a shortage of doctors, primarily due to low enrollment rates and high university fees. While there are 202 medical schools in India, its large population means there are 5 million people per medical school.[16] Christian Medical College, a top-ranked university in Vellore, once had an acceptance rate of 0.25 percent, with only 100 seats for medical students.[17] Now its acceptance rate hovers around 5 percent. There has been minimal progress in making it easier to get a medical school acceptance; there is still a long way to go in equalizing access to education. India’s system for training doctors is now rife with corruption, with bribes accepted under the guise of “donations” and new curricula completely devoid of traditional Indian training methods.[18] Nepotism in the industry has made qualifications even less significant. In 2010, 69 hospitals and medical colleges were reported for selling exam papers to students, and most employed staff lied about their clinical experience.[19] In a cheating scandal in 2013 involving several Indian universities, students purchased falsified entrance exam results. Not only are these students unqualified for the placements they secured, but legal action by the government did not materialize.[20] Dr. Anand Rai, a physician who had to go into protective hiding following death threats for being a whistleblower in the 2013 scandal subsequently remarked: “...the next generation of doctors is being taught to cheat and deceive before they even enter the classroom.”[21] The effects of this scandal can be felt far beyond its borders - India also happens to be the world’s largest exporter of doctors, with about 47,000 currently practicing in the United States.[22] lll. Hospital Privatization With the privatization of major hospitals and the shift to a “United States” business focus, another serious problem emerged. In the recent past, patients hailing from rural villages and often living in poverty could access quality health care from public hospitals. They had access to highly trained doctors, and all costs were usually fully subsidized.[23] This was in keeping with the old tradition that believed in aid no matter the circumstance. As the focus shifted towards maximizing profitability, these opportunities for poor patients vanished. Chains of private hospitals are rapidly replacing public ones. Their purchasing model is to consolidate through a centralized subsidiary.[24] This usually results in significant savings. Instead of passing on some savings to patients through reduced pricing, any savings are used to fulfill a key objective of privatized businesses: maximize profitability. The poor now contend with inflated prices and are being turned away from facilities that once treated them at no cost, all while levels of trust in the healthcare system have plummeted. This distrust can discourage people who cannot afford care from seeking medical aid when they need it. The healthcare system has devolved to the point whereby remaining public hospitals are overrun by huge numbers of patients unable to afford the hugely inflated prices at private institutions. This, coupled with healthcare workers that often have substandard training, has created deplorable public health conditions. lV. Corruption This deplorable public health condition reflects a failing healthcare system. To make matters worse, hospitals hire unqualified graduates untrained in medical ethics to meet India's urgent need for large numbers of qualified doctors. Many hospitals have even resorted to employing corrupt doctors to counteract the physician shortage. According to the Indian Medical Association (IMA), about 45 percent of those who practice medicine in India have no formal training.[25] IMA also reported that close to 700,000 doctors employed at some of the biggest hospitals, who are currently diagnosing, treating, and operating, have neither the training nor experience to do so. A large-scale forgery ring, broken up in 2011, revealed that buyers could pay as little as 100 US dollars for a medical degree from a non-existent college. This “cleared” them for practice.[26] It has been estimated that over 50,000 fraudulent medical degrees have been purchased in the past decade. Government level corruption is widespread, as one can gain placement into medical school, “graduate” with fake degrees, and sell fake practicing licenses. V. Solutions These topics, raised by bioethics centers, are now being taken more seriously by healthcare professionals taking steps to address medical misconduct. As many as five million people in India die each year due to medical negligence.[27] By requiring each physician to complete a new comprehensive Acute Critical Care Course (ACCC), specialists estimate that physicians can reduce the rate of malpractice deaths by as much as 50 percent in rural areas.[28] This intensive two-year course contains detailed training methods built off of current knowledge and walks healthcare professionals through crucial steps designed to reduce errors. Even small errors, such as a poorly inserted IV for fluid or a minor surgery mishap, can be life threatening. The course thoroughly covers these as mandated.[29] The ACCC is unfortunately not a widely spread concept in a lot of rural areas. For now, while many major hospitals continue to ignore the high rates of avoidable deaths, implementation of the ACCC program seems slow. The current Medical Council of India needs to be more effective at addressing malpractice cases, as there are so many of them.[30] One possible solution to the growth of unethical business practices in medicine is to offer physicians incentives to make ethically sound decisions. This can start by increasing the number of slots available for medical students at government-run medical schools. Less student debt would lead more doctors away from overbilling their patients. This is a strategy currently being employed in the state of Tamil Nadu, where a centrally sponsored scheme has approved the induction of an additional 3,496 MBBS seats in government colleges.[31] More students studying at subsidized costs with less competition lowers the inclination toward deceit and profiteering. Another incentive for ethical practice can come from accountability and transparency. The background of every doctor operating should be public information, including the rate of successful surgeries versus unsuccessful ones resulting from personal negligence. This would encourage doctors to keep a clean record and, in turn, encourage hospitals to hire and train those who will preserve or improve their reputation. This information is kept in a medical record monitored in most parts of India through a traditional paper method.[32] While eliminating paper in medical recording and reverting to digital use is the ultimate aim, it will take time to implement a system that takes into account e-signatures and verifiable witnesses. CONCLUSION India’s history of leadership in medical ethics has undergone some major changes. A relatively recent privatization of the education system has caused a shift in values and decimated the medical industry on many levels. The moral principles of doctors have come into question. While industry and government leaders are trying to solve the multi-faceted issues facing the medical industry, it is obvious that this is an undertaking requiring inventive solutions. Prioritizing ethics in medical education, de-privatizing medical schools and hospitals, offering affordable options, and limiting corruption would improve India’s ability to offer high-quality medical care. Adding traditional Indian medical ethics back into the curricula would foster a workforce dedicated to serving patients over profiteering. - [1] Deshpande, SmitaN. 2016. “The UNESCO Movement for Bioethics in Medical Education and the Indian Scenario.” Indian Journal of Psychiatry 58 (4): 359. https://doi.org/10.4103/0019-5545.196722. [2] Mukherjee, Ambarish, Mousumi Banerjee, Vivekananda Mandal, Amritesh C. Shukla, and Subhash C. Mandal. 2014. “Modernization of Ayurveda: A Brief Overview of Indian Initiatives.” Natural Product Communications 9 (2): 1934578X1400900. https://doi.org/10.1177/1934578x1400900239. [3] 2020. Eubios.info. 2020. https://www.eubios.info/EJ102/EJ102E.htm. [4] Arnold, David, ed. 2000. “Western Medicine in an Indian Environment.” Cambridge University Press. Cambridge: Cambridge University Press. 2000. https://www.cambridge.org/core/books/abs/science-technology-and-medicine-in-colonial-india/western-medicine-in-an-indian-environment/28BAB761BE205B06D32BC3DC972E9384. [5] Kulkarni, Vani, Veena Kulkarni, and Raghav Gaiha. 2019. “Trust in Hospitals-Evidence from India.” https://repository.upenn.edu/cgi/viewcontent.cgi?article=1026&context=psc_publications. [6] Bhasin, Dr Sanjay K. 2005 “What Ails Medical Profession.” Www.academia.edu. Accessed September 17, 2022. https://www.academia.edu/7631547/What_Ails_Medical_Profession. [7] Shapiro, Natasha, and Urmila Patel. (2006) “Asian Indian Culture: Influences and Implications for Health Care.” https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/providers/fl/medicaid/resource_fl_asianindianculture_influencesandimplicationsforhealthcare.pdf. [8] Swihart, Diana L, and Romaine L Martin. 2021. “Cultural Religious Competence in Clinical Practice.” Nih.gov. StatPearls Publishing. 2021. https://www.ncbi.nlm.nih.gov/books/NBK493216/. [9] “India’s Mighty Medical Education Mess.” 2022. Education World. July 11, 2022. https://www.educationworld.in/indias-mighty-medical-education-mess/. [10] Pandya, Sunil. 2020. “Medical Education in India: Past, Present, and Future Perspectives. in Sun Kim, ed. Medical Schools Nova Science Publishers, Inc. (= [11] Ravindran, G. D., T. Kalam, S. Lewin, and P. Pais. 1997. “Teaching Medical Ethics in a Medical College in India.” The National Medical Journal of India 10 (6): 288–89. https://pubmed.ncbi.nlm.nih.gov/9481103/. [12] “Chapter 9: Opinions on Professional Self-Regulation”(2016) https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/code-of-medical-ethics-chapter-9.pdf. [13]Sanjiv Das. 2020. “The Pill for India’s Ailing Medical Education System.” Express Healthcare. February 3, 2020. https://www.expresshealthcare.in/education/the-pill-for-indias-ailing-medical-education-system/416711/. [14] https://www.marketresearch.com/Netscribes-India-Pvt-Ltd-v3676/Private-Medical-Colleges-India-30399614/."There are ~50.89% government medical colleges and ~49.11% private medical colleges in the country.”; NPR.org. (2021) “When Students in India Can’t Earn College Admission on Merit, They Buy Their Way In.” Accessed September 19, 2022. https://www.npr.org/2019/08/04/745182272/when-students-in-india-cant-earn-college-admission-on-merit-they-buy-their-way-i. [15] https://timesofindia.indiatimes.com/india/how-medical-colleges-in-india-became-a-business-one-policy-change-at-a-time/articleshow/69707594.cms [16] Muula A. S. (2006). Every country or state needs two medical schools. Croatian medical journal, 47(4), 669–672. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2080437/ [17] Miglani, Andrew MacAskill, Steve Stecklow, Sanjeev. 2015. “Why India’s Medical Schools Are Plagued with Fraud.” Mint. June 17, 2015. https://www.livemint.com/Politics/BDGOx3SApU3QbsRMjZUK9M/Why-Indias-medical-schools-are-plagued-with-fraud.html. [18] Clark, J. 2015. “Indian Medical Education System Is Broken, Reuters Investigation Finds.” BMJ 350 (jun18 3): h3324–24. https://doi.org/10.1136/bmj.h3324. [19] Reuters. 2015. “Special Report - Why India’s Medical Schools Are Plagued with Fraud,” June 16, 2015, sec. Special Reports. https://www.reuters.com/article/uk-india-medicine-education-specialrepor/special-report-why-indias-medical-schools-are-plagued-with-fraud-idINKBN0OW1N520150616. [20] Andrew Emett. (2015) “Over Two Dozen Witnesses and Suspects Mysteriously Die in Indian Cheating Scandal | NationofChange.” Accessed September 19, 2022. https://www.nationofchange.org/2015/07/08/over-two-dozen-witnesses-and-suspects-mysteriously-die-in-indian-cheating-scandal/. [21] (Reuters 2015) [22] Clark, J. 2015. “Indian Medical Education System Is Broken, Reuters Investigation Finds.” BMJ 350 (jun18 3): h3324–24. https://doi.org/10.1136/bmj.h3324. [23] Barik, Debasis, and Amit Thorat. 2015. “Issues of Unequal Access to Public Health in India.” Frontiers in Public Health 3 (October). https://doi.org/10.3389/fpubh.2015.00245. [24] “Investment Opportunities in India’s Healthcare Sector.” (2021) https://www.niti.gov.in/sites/default/files/2021-03/InvestmentOpportunities_HealthcareSector_0.pdf. [25] Clark, J. 2015. “Indian Medical Education System Is Broken, Reuters Investigation Finds.” BMJ 350 (jun18 3): h3324–24. https://doi.org/10.1136/bmj.h3324. [26] “Are We Importing Fake Doctors?” (2015) Www.workerscompensation.com. Accessed September 19, 2022. https://www.workerscompensation.com/news_read.php?id=21672&forgot=yes. [27] Boston, 677 Huntington Avenue, and Ma 02115 +1495‑1000. 2013. “Millions Harmed Each Year from Unsafe Medical Care.” News. September 19, 2013. https://www.hsph.harvard.edu/news/press-releases/millions-harmed-each-year-from-unsafe-medical-care/. [28] “Specialised Course for Doctors Can Help Cut the Deaths due to Medical Errors; Experts.” 2018. DailyRounds. October 29, 2018. https://www.dailyrounds.org/blog/specialised-course-for-doctors-can-help-cut-the-deaths-due-to-medical-errors-experts/. [29] Sokhal, Navdeep, Akshay Kumar, Richa Aggarwal, Keshav Goyal, Kapil Dev Soni, Rakesh Garg, Ashok Deorari, and Ajay Sharma. 2021. “Acute Critical Care Course for Interns to Develop Competence.” The National Medical Journal of India 34 (3): 167–70. https://doi.org/10.25259/NMJI_103_19. [30] Singhania, Meghna A. 2020. “How Much Punishment?- MCI Formulates Sentencing Guidelines for Cases of Medical Negligence.” Medicaldialogues.in. February 13, 2020. https://medicaldialogues.in/news/health/mci/how-much-punishment-mci-formulates-sentencing-guidelines-for-cases-of-medical-negligence-62645. [31] “Health Ministry Reports 30% Increase in Number of Functional Medical Colleges in Five Years.” (2022) Www.pharmabiz.com. Accessed September 19, 2022. http://www.pharmabiz.com/NewsDetails.aspx?aid=152299&sid=1. [32] Honavar, Santosh G. 2020. “Electronic Medical Records – the Good, the Bad and the Ugly.” Indian Journal of Ophthalmology 68 (3): 417. https://doi.org/10.4103/ijo.ijo_278_20.
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Zimmerman, Anne. "Forced Organ Harvesting". Voices in Bioethics 9 (21 de março de 2023). http://dx.doi.org/10.52214/vib.v9i.11007.

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Photo by 187929822 © Victor Moussa | Dreamstime.com INTRODUCTION The nonconsensual taking of a human organ to use in transplantation medicine violates ethical principles, including autonomy, informed consent, and human rights, as well as criminal laws. When such an organ harvesting is not just nonconsensual, but performed in a way that causes a death or uses the pretense of brain death without meeting the criteria, it also violates the dead donor[1] rule.[2] The dead donor rule is both ethical and legal. It prevents organ retrieval that would predictably cause the death of the organ donor.[3] Retrieval of a vital organ is permissible only after a declaration of death.[4] Forced organ harvesting may breach the dead donor rule as it stands. A reimagined, broader dead donor rule could consider a larger timeframe in the forced organ harvesting context. In doing so, the broad dead donor rule could cover intent, premeditation, aiding and abetting, and due diligence failures. A broad definition of forced organ harvesting is ‘‘the removal of one or more organs from a person by means of coercion, abduction, deception, fraud, or abuse of power. . .’’[5] A more targeted definition is “[t]he killing of a person so that their organs may be removed without their free, voluntary and informed consent and transplanted into another person.”[6] In the global organ harvesting context, forced organ harvesting violates the World Health Organization (WHO) Guiding Principle 3, which says “live organ donors should be acting willingly, free of any undue influence or coercion.”[7] Furthermore, WHO states live donors should be “genetically, legally, or emotionally” attached to the recipient. Guiding Principle 1 applies to deceased donors, covers consent, and permits donation absent any known objections by the deceased.[8] Principle 7 says, “Physicians and other health professionals should not engage in transplantation procedures, and health insurers and other payers should not cover such procedures if the cells, tissues or organs concerned have been obtained through exploitation or coercion of, or payment to, the donor or the next of kin of a deceased donor.”[9] There are underground markets in which organ hunters prey on the local poor in countries with low wages and widespread poverty[10] and human trafficking that targets migrants for the purpose of organ harvesting.[11] This paper explores forced harvesting under the backdrop of the dead donor rule, arguing that a human rights violation so egregious requires holding even distant participants in the chain of events accountable. By interfering with resources necessary to carry out bad acts, legislation and corporate and institutional policies can act as powerful deterrents. A broader dead donor rule would highlight the premeditation and intent evidenced well before the act of organ retrieval. I. Background and Evidence In China, there is evidence that people incarcerated for religious beliefs and practices (Falun Gong) and ethnic minorities (Uyghurs) have been subjects of forced organ harvesting. A tribunal (the China Tribunal) found beyond a reasonable doubt that China engaged in forced organ harvesting.[12] Additionally, eight UN Special Rapporteurs found a system of subjecting political prisoners and prisoners of conscience to blood tests and radiological examinations to determine the fitness of their organs.[13] As early as 2006, investigators found evidence of forced organ harvesting from Falun Gong practitioners. [14] Over a million Uyghurs are in custody there, and there is ample evidence of biometric data collection.[15] An Uyghur tribunal found evidence of genocide.[16] “China is the only country in the world to have an industrial-scale organ trafficking practice that harvests organs from executed prisoners of conscience.”[17] Witnesses testified to the removal of organs from live people without ample anesthesia,[18] summonses to the execution grounds for organ removal,[19] methods of causing death for the purpose of organ procurement,[20] removing eyes from prisoners who were alive,[21] and forcing live prisoners into operating rooms.[22] The current extent of executions to harvest organs from prisoners of conscience in China is unknown. The Chinese press has suggested surgeons in China will perform 50,000 organ transplants this year.[23] Doctors Against Forced Organ Harvesting (DAFOR) concluded, “[f]orced organ harvesting from living people has occurred and continues to occur unabated in China.”[24] China continues to advertise in multiple languages to attract transplant tourists.[25] Wait times for organs seem to remain in the weeks.[26] In the United States, it is common to wait three to five years.[27] II. The Nascent System of Voluntary Organ Donation in China In China, throughout the 1990s and early 2000s, the supply of organs for transplant was low, and there was not a national system to register as a donor. A 1984 act permitted death row prisoners to donate organs.[28] In 2005, a Vice Minister acknowledged that 95 percent of all organ transplants used organs from death row prisoners.[29] In 2007 the planning of a voluntary system to harvest organs after cardiac death emerged. According to a Chinese publication, China adopted brain death criteria in 2013.[30] There had been public opposition due partly to cultural unfamiliarity with it.[31] Cultural values about death made it more difficult to adopt a universal brain death definition. Both Buddhist and Confucian beliefs contradicted brain death.[32] Circulatory death was traditionally culturally accepted.[33] The Ministry of Health announced that by 2015 organ harvesting would be purely voluntary and that prisoners would not be the source of organs.[34] There are cultural barriers to voluntary donation partly due to a Confucian belief that bodies return to ancestors intact and other cultural and religious beliefs about respect for the dead.[35] An emphasis on family and community over the individual posed another barrier to the Western approach to organ donation. Public awareness and insufficient healthcare professional knowledge about the process of organ donation are also barriers to voluntary donation.[36] Although the Chinese government claims its current system is voluntary and no longer exploits prisoners,[37] vast evidence contradicts the credibility of the voluntary transplant program in China.[38] III. Dead Donor Rule: A Source of Bioethical Debate It seems tedious to apply this ethical foundation to something as glaring as forced organ harvesting. But the dead donor rule is a widely held recognition that it is not right to kill one person to save another.[39] It acts as a prohibition on killing for the sake of organ retrieval and imposes a technical requirement which influences laws on how death is declared. The dead donor rule prevents organ harvesting that causes death by prohibiting harvesting any organ which the donor agreed to donate only after death prior to an official declaration of death. There is an ongoing ethical debate about the dead donor rule. Many in bioethics and transplant medicine would justify removing organs in specific situations prior to a declaration of death, abandoning the rule.[40] Some use utilitarian arguments to justify causing the death of someone who is unconscious and on life support irreversibly. Journal articles suggest that the discussion has moved to one of timing and organ retrieval.[41] Robert Truog and Franklin Miller are critics of the dead donor rule, arguing that, in practice, it is not strictly obeyed: removing organs while a brain-dead donor is still on mechanical ventilation and has a beating heart and removing organs right after life support is removed and cardio-pulmonary death is declared both might not truly meet the requirement of the dead donor rule, making following the rule “a dubious norm.”[42] Miller and Truog question the concept of brain death, citing evidence of whole body integrated functions that continue indefinitely. They challenge cardio-pulmonary death, asserting that the definition includes as dead, those who could be resuscitated. Their hearts could resume beating with medical intervention. Stopping life support causes death only in those whose lives are sustained by it. Some stipulate that the organ retrieval must not itself cause the death. Some would rejigger the cause of death: Daniel Callahan suggests that the underlying condition causes the death despite removal of life support.[43] But logically, a person could continue life support and be alive, so clearly, removing life support does cause death. Something else would have caused brain death or the circumstance that landed the person on mechanical ventilation. To be more accurate, one could say X caused the irreversible coma and removing life support caused the death itself. Miller and Truog take the position that because withdrawal of life support does cause death, the dead donor rule should be defunct as insincere. To them, retrieving vital organs from a technically alive donor should be permissible under limited conditions. They look to the autonomous choices of the donor or the surrogate (an autonomy-based argument). They appreciate the demand for organs and the ability to save lives, drawing attention to those in need of organs. Live donor organ retrieval arguably presents a slippery slope, especially if a potential donor is close to death, but not so close to label it imminent. They say physicians would not be obligated to follow the orders of a healthy person wishing to have vital organs removed, perhaps to save a close friend or relative. Similarly, Radcliffe-Richards, et al. argue that there is no reason to worry about the slippery slope of people choosing death so they can sell their vital organs, whether for money for their decedents or their creditors.[44] The movement toward permissibility and increased acceptance of medical aid in dying also influence the organ donation arena. The slippery slope toward the end of life has potential to become a realistic concern. Older adults or other people close to death may want to donate a vital organ, like their heart, to a young relative in need. That could greatly influence the timing of a decision to end one’s life. IV. Relating the Dead Donor Rule to Forced Organ Harvesting There is well documented evidence that in China organs have been removed before a declaration of death.[45] But one thing the dead donor rule does not explicitly cover is intent and the period prior to the events leading to death. It tends to apply to a near-death situation and is primarily studied in its relationship to organ donation. It is about death more than it is about life. Robertson and Lavee investigated data on transplantation of vital organs in China and they document cases where the declaration of death was a pretense, insincere, and incorrect. Their aim was to investigate whether the prisoners were in fact dead prior to organ harvesting.[46] (The China Tribunal found that organs have been removed from live prisoners and that organ harvesting has been the cause of death.) They are further concerned with the possible role of doctors as executioners, or at least as complicit in the execution as the organ harvesting so closely follows it. V. A Broader Dead Donor Rule A presumed ethical precursor to the dead donor rule may also be an important ethical extension of the rule: the dead donor rule must also prohibit killing a person who is not otherwise near death for the purpose of post-death organ harvesting. In China, extra-judicial killings of prisoners of conscience are premeditated ― there is ample evidence of blood tests and radiology to ensure organ compatibility and health.[47] To have effective ethical force, the dead donor rule should have an obvious application in preventing intentional killing for an organ retrieval, not just killing by way of organ retrieval. When we picture the dead donor rule, bioethicists tend to envision a person on life support who will either be taken off it and stop breathing or who will be declared brain dead. But the dead donor rule should apply to healthy people subject to persecution at the point when the perpetrator lays the ground for the later killing. At that point, many organizations and people may be complicit or unknowingly contributing to forced organ harvesting. In this iteration of the dead donor rule, complicity in its violations would be widespread. The dead donor rule could address the initial action of ordering a blood or radiology test or collecting any biometric data. Trained physicians and healthcare technicians perform such tests. Under my proposed stretch of the dead donor rule, they too would be complicit in the very early steps that eventually lead to killing a person for their organs. I argue these steps are part of forced organ harvesting and violate the dead donor rule. The donor is very much alive in the months and years preceding the killing. A conspiracy of indifference toward life, religious persecution, ethnic discrimination, a desire to expand organ transplant tourism, and intent to kill can violate this broader dead donor rule. The dead donor rule does not usually apply to the timing of the thought of organ removal, nor the beginning of the chain of events that leads to it. It is usually saved for the very detailed determination of what may count as death so that physicians may remove vital and other organs, with the consent of the donor.[48] But I argue that declaring death at the time of retrieval may not be enough. Contributing to the death, even by actions months or years in advance, matter too. Perhaps being on the deathbed awaiting a certain death must be distinguished from going about one’s business only to wind up a victim of forced organ harvesting. Both may well be declared dead before organ retrieval, but the likeness stops there. The person targeted for future organ retrieval to satisfy a growing transplant tourism business or local demand is unlike the altruistic person on his deathbed. While it may seem like the dead donor rule is merely a bioethics rule, it does inform the law. And it has ethical heft. It may be worth expanding it to the arena of human trafficking for the sake of organ removal and forced organ harvesting.[49] The dead donor rule is really meant to ensure that death was properly declared to protect life, something that must be protected from an earlier point. VI. Complicity: Meaning and Application Human rights due diligence refers to actions that people or institutions must take to ensure they are not contributing to a human rights violation. To advise on how to mitigate risk of involvement or contribution to human rights violations, Global Rights Compliance published an advisory that describes human rights due diligence as “[t]he proactive conduct of a medical institution and transplant-associated entity to identify and manage human rights risks and adverse human rights impacts along their entire value and supply chain.”[50] Many people and organizations enable forced organ harvesting. They may be unwittingly complicit or knowingly aiding and abetting criminal activity. For example, some suppliers of medical equipment and immunosuppressants may inadvertently contribute to human rights abuses in transplantation in China, or in other countries where organs were harvested without consent, under duress, or during human trafficking. According to Global Rights Compliance, “China in the first half of 2021 alone imported ‘a total value of about 24 billion U.S. dollars’ worth of medical technology equipment’, with the United States and Germany among the top import sources.”[51] The companies supplying the equipment may be able to slow or stop the harm by failing to supply necessary equipment and drugs. Internal due diligence policies would help companies analyze their suppliers and purchasers. Corporations, educational institutions, and other entities in the transplantation supply chain, medical education, insurance, or publishing must engage in human rights due diligence. The Global Rights Compliance advisory suggests that journals should not include any ill-gotten research. Laws should regulate corporations and target the supply chain also. All actors in the chain of supply, etc. are leading to the death of the nonconsenting victim. They are doing so while the victim is alive. The Stop Forced Organ Harvesting Act of 2023, pending in the United States, would hold any person or entity that “funds, sponsors, or otherwise facilitates forced organ harvesting or trafficking in persons for purposes of the removal of organs” responsible. The pending legislation states that: It shall be the policy of the United States—(1) to combat international trafficking in persons for purposes of the removal of organs;(2) to promote the establishment of voluntary organ donation systems with effective enforcement mechanisms in bilateral diplomatic meetings and in international health forums;(3) to promote the dignity and security of human life in accordance with the Universal Declaration of Human Rights, adopted on December 10, 1948; and(4) to hold accountable persons implicated, including members of the Chinese Communist Party, in forced organ harvesting and trafficking in persons for purposes of the removal of organs.[52] The Act calls on the President to provide Congress a list of such people or entities and to sanction them by property blocking, and, in the case of non-US citizens, passport and visa denial or revocation. The Act includes a reporting requirement under the Foreign Assistance Act of 1961 that includes an assessment of entities engaged in or supporting forced organ harvesting.[53] The law may have a meaningful impact on forced organ harvesting. Other countries have taken or are in the process of legal approaches as well.[54] Countries should consider legislation to prevent transplant tourism, criminalize complicity, and require human rights due diligence. An expanded dead donor rule supports legal and policy remedies to prevent enabling people to carry out forced organ harvesting. VII. Do Bioethicists Mention Human Rights Abuses and Forced Organ Harvesting Enough? As a field, bioethics literature often focuses on the need for more organs, the pain and suffering of those on organ transplant waitlists, and fairness in allocating organs or deciding who belongs on which waitlist and why. However, some bioethicists have drawn attention to forced organ harvesting in China. Notably, several articles noted the ethical breaches and called on academic journals to turn away articles on transplantation from China as they are based on the unethical practice of executing prisoners of conscience for their organs.[55] The call for such a boycott was originally published in a Lancet article in 2011.[56] There is some acknowledgement that China cares about how other countries perceive it,[57] which could lead to either improvements in human rights or cover-ups of violations. Ill-gotten research has long been in the bioethics purview with significant commentary on abuses in Tuskegee and the Holocaust.[58] Human research subjects are protected by the Declaration of Helsinki, which requires acting in the best interests of research subjects and informed consent among other protections.[59] The Declaration of Helsinki is directed at physicians and requires subjects enroll in medical research voluntarily. The Declaration does not explicitly cover other healthcare professionals, but its requirements are well accepted broadly in health care. CONCLUSION The dead donor rule in its current form really does not cover the life of a non-injured healthy person at an earlier point. If it could be reimagined, we could highlight the link between persecution for being a member of a group like Falun Gong practitioners or Uyghurs as the start of the process that leads to a nonconsensual organ retrieval whether after a proper declaration of death or not. It is obviously not ethically enough to ensure an execution is complete before the organs are harvested. It is abuse of the dead donor rule to have such a circumstance meet its ethical requirement. And obviously killing people for their beliefs or ethnicity (and extra-judicial killings generally) is not an ethically acceptable action for many reasons. The deaths are intentionally orchestrated, but people and companies who may have no knowledge of their role or the role of physicians they train or equipment they sell are enablers. An expanded dead donor rule helps highlight a longer timeframe and expanded scope of complicity. The organ perfusion equipment or pharmaceuticals manufactured in the United States today must not end up enabling forced organ harvesting. With an expanded ethical rule, the “donor is not dead” may become “the donor would not be dead if not for. . .” the host of illegal acts, arrests without cause, forced detention in labor camps, extra-judicial killings, lacking human rights due diligence, and inattention to this important topic. The expanded dead donor rule may also appeal to the bioethics community and justify more attention to laws and policies like the Stop Forced Organ Harvesting Act of 2023. - [1] The word “donor” in this paper describes any person from whom organs are retrieved regardless of compensation, force, or exploitation in keeping with the bioethics literature and the phrase “dead donor rule.” [2] Robertson, M.P., Lavee J. (2022). Execution by organ procurement: Breaching the dead donor rule in China. Am J Transplant, Vol.22,1804– 1812. doi:10.1111/ajt.16969. [3] Robertson, J. A. (1999). Delimiting the donor: the dead donor rule. Hastings Center Report, 29(6), 6-14. [4] Retrieval of non-vital organs which the donor consents to donate post-death (whether opt-in, opt-out, presumed, or explicit according to local law) also trigger the dead donor rule. [5] The Stop Forced Organ Harvesting Act of 2023, H.R. 1154, 118th Congress (2023), https://www.congress.gov/bill/118th-congress/house-bill/1154. [6] Do No Harm: Mitigating Human Rights Risks when Interacting with International Medical Institutions & Professionals in Transplantation Medicine, Global Rights Compliance, Legal Advisory Report, April 2022, https://globalrightscompliance.com/project/do-no-harm-policy-guidance-and-legal-advisory-report/. [7] WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation, as endorsed by the sixty-third World Health Assembly in May 2010, in Resolution WHA63.22 https://apps.who.int/iris/bitstream/handle/10665/341814/WHO-HTP-EHT-CPR-2010.01-eng.pdf?sequence=1. [8] WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation (2010). [9] WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation (2010). [10] Promchertchoo, Pichayada (Oct. 19, 2019). Kidney for sale: Inside Philippines’ illegal organ trade. https://www.channelnewsasia.com/asia/kidney-for-sale-philippines-illegal-organ-trade-857551; Widodo, W. and Wiwik Utami (2021), The Causes of Indonesian People Selling Covered Kidneys from a Criminology and Economic Perspective: Analysis Based on Rational Choice Theory. European Journal of Political Science Studies, Vol 5, Issue 1. [11] Van Reisen, M., & Mawere, M. (Eds.). (2017). Human trafficking and trauma in the digital era: The ongoing tragedy of the trade in refugees from Eritrea. African Books Collective. [12] The Independent Tribunal into Forced Organ Harvesting from Prisoners of Conscience in China (China Tribunal) (2020). https://chinatribunal.com/wp-content/uploads/2020/03/ChinaTribunal_JUDGMENT_1stMarch_2020.pdf [13] UN Office of the High Commissioner, Press Release, China: UN human Rights experts alarmed by ‘organ harvesting’ allegations (UN OTHCHR, 14 June 2021), https://www.ohchr.org/en/press-releases/2021/06/china-un-human-rights-experts-alarmed-organ-harvesting-allegations. [14] David Matas and David Kilgour, Bloody Harvest. The killing of Falun Gong for their organs (Seraphim Editions 2009). [15] How China is crushing the Uyghurs, The Economist, video documentary, July 9, 2019, https://youtu.be/GRBcP5BrffI. [16] Uyghur Tribunal, Judgment (9 December 2021) (Uyghur Tribunal Judgment) para 1, https://uyghurtribunal.com/wp-content/uploads/2022/01/Uyghur-Tribunal-Judgment-9th-Dec-21.pdf. [17] Ali Iqbal and Aliya Khan, Killing prisoners for transplants: Forced organ harvesting in China, The Conversation Published: July 28, 2022. https://theconversation.com/killing-prisoners-for-transplants-forced-organ-harvesting-in-china-161999 [18] Testimony demonstrated surgeries to remove vital organs from live people, killing them, sometimes without ample anesthesia to prevent wakefulness and pain. China Tribunal (2020), p. 416-417. https://chinatribunal.com/wp-content/uploads/2020/03/ChinaTribunal_JUDGMENT_1stMarch_2020.pdf; Robertson MP, Lavee J. (2022), Execution by organ procurement: Breaching the dead donor rule in China. Am J Transplant, Vol.22,1804– 1812. doi:10.1111/ajt.16969. [19] Doctors reported being summoned to execution grounds and told to harvest organs amid uncertainty that the prisoner was in fact dead. China Tribunal (2020), p. 52-53. [20]In testimony to the China Tribunal, Dr. Huige Li noted four methods of organ harvesting from live prisoners: incomplete execution by shooting, after lethal injection prior to death, execution by removal of the heart, and after a determination of brain death prior to an intubation (pretense of brain death). China Tribunal (2020), pp. 54-55. https://chinatribunal.com/wp-content/uploads/2020/03/ChinaTribunal_JUDGMENT_1stMarch_2020.pdf [21] A former military medical student described removing organs from a live prisoner in the late 1990s. He further described his inability to remove the eyes of a live man and his witnessing another doctor forcefully remove the man’s eyes. China Tribunal (2020), p. 330. [22] In 2006, a nurse testified that her ex-husband, a surgeon, removed the eyes of 2,000 Falun Gong practitioners in one hospital between 2001 and 2003. She described the Falun Gong labor-camp prisoners as being forced into operating rooms where they were given a shot to stop their hearts. Other doctors removed other organs. DAFOH Special Report, 2022. https://epochpage.com/wp-content/uploads/sites/3/2022/12/DAFOH-Special-Report-2022.pdf [23] Robertson MP, Lavee J. (2022), Execution by organ procurement: Breaching the dead donor rule in China. Am J Transplant, Vol.22,1804– 1812. doi:10.1111/ajt.16969. [24] DAFOH Special Report, 2022. https://epochpage.com/wp-content/uploads/sites/3/2022/12/DAFOH-Special-Report-2022.pdf; DAFOH’s physicians were nominated for a Nobel Prize for their work to stop forced organ harvesting. Šućur, A., & Gajović, S. (2016). Nobel Peace Prize nomination for Doctors Against Forced Organ Harvesting (DAFOH) - a recognition of upholding ethical practices in medicine. Croatian medical journal, 57(3), 219–222. https://doi.org/10.3325/cmj.2016.57.219 [25] Robertson and Lavee (2022). [26] Stop Organ Harvesting in China, website (organization of the Falun Dafa). https://www.stoporganharvesting.org/short-waiting-times/ [27] National Kidney Foundation, The Kidney Transplant Waitlist – What You Need to Know, https://www.kidney.org/atoz/content/transplant-waitlist [28] Wu, Y., Elliott, R., Li, L., Yang, T., Bai, Y., & Ma, W. (2018). Cadaveric organ donation in China: a crossroads for ethics and sociocultural factors. Medicine, 97(10). [29] Wu, Elliott, et al., (2018). [30] Su, Y. Y., Chen, W. B., Liu, G., Fan, L. L., Zhang, Y., Ye, H., ... & Jiang, M. D. (2018). An investigation and suggestions for the improvement of brain death determination in China. Chinese Medical Journal, 131(24), 2910-2914. [31] Huang, J., Millis, J. M., Mao, Y., Millis, M. A., Sang, X., & Zhong, S. (2012). A pilot programme of organ donation after cardiac death in China. The Lancet, 379(9818), 862-865. [32] Yang, Q., & Miller, G. (2015). East–west differences in perception of brain death: Review of history, current understandings, and directions for future research. Journal of bioethical inquiry, 12, 211-225. [33] Huang, J., Millis, J. M., Mao, Y., Millis, M. A., Sang, X., & Zhong, S. (2015). Voluntary organ donation system adapted to Chinese cultural values and social reality. Liver Transplantation, 21(4), 419-422. [34] Huang, Millis, et al. (2015). [35] Wu, X., & Fang, Q. (2013). Financial compensation for deceased organ donation in China. Journal of Medical Ethics, 39(6), 378-379. [36] An, N., Shi, Y., Jiang, Y., & Zhao, L. (2016). Organ donation in China: the major progress and the continuing problem. Journal of biomedical research, 30(2), 81. [37] Shi, B. Y., Liu, Z. J., & Yu, T. (2020). Development of the organ donation and transplantation system in China. Chinese medical journal, 133(07), 760-765. [38] Robertson, M. P., Hinde, R. L., & Lavee, J. (2019). Analysis of official deceased organ donation data casts doubt on the credibility of China’s organ transplant reform. BMC Medical Ethics, 20(1), 1-20. [39] Miller, F.G. and Sade, R. M. (2014). Consequences of the Dead Donor Rule. The Annals of thoracic surgery, 97(4), 1131–1132. https://doi.org/10.1016/j.athoracsur.2014.01.003 [40] For example, Miller and Sade (2014) and Miller and Truog (2008). [41] Omelianchuk, A. How (not) to think of the ‘dead-donor’ rule. Theor Med Bioeth 39, 1–25 (2018). https://doi-org.ezproxy.cul.columbia.edu/10.1007/s11017-018-9432-5 [42] Miller, F.G. and Truog, R.D. (2008), Rethinking the Ethics of Vital Organ Donations. Hastings Center Report. 38: 38-46. [43] Miller and Truog, (2008), p. 40, citing Callahan, D., The Troubled Dream of Life, p. 77. [44] Radcliffe-Richards, J., Daar, A.S., Guttman, R.D., Hoffenberg, R., Kennedy, I., Lock, M., Sells, R.A., Tilney, N. (1998), The Case for Allowing Kidney Sales, The Lancet, Vol 351, p. 279. (Authored by members of the International Forum for Transplant Ethics.) [45] Robertson and Lavee, (2022). [46] Robertson and Lavee, (2022). [47] China Tribunal (2020). [48] Consent varies by local law and may be explicit or presumed and use an opt-in or opt-out system and may or may not require the signoff by a close family member. [49] Bain, Christina, Mari, Joseph. June 26, 2018, Organ Trafficking: The Unseen Form of Human Trafficking, ACAMS Today, https://www.acamstoday.org/organ-trafficking-the-unseen-form-of-human-trafficking/; Stammers, T. (2022), "2: Organ trafficking: a neglected aspect of modern slavery", Modern Slavery and Human Trafficking, Bristol, UK: Policy Press. https://bristoluniversitypressdigital.com/view/book/978144736. [50] Do No Harm: Mitigating Human Rights Risks when Interacting with International Medical Institutions & Professionals in Transplantation Medicine, Global Rights Compliance, Legal Advisory Report, April 2022, https://globalrightscompliance.com/project/do-no-harm-policy-guidance-and-legal-advisory-report/. [51] Global Rights Compliance, p. 22. [52] The Stop Forced Organ Harvesting Act of 2023, H.R. 1154, 118th Congress (2023). https://www.congress.gov/bill/118th-congress/house-bill/1154. [53] The Stop Forced Organ Harvesting Act of 2023, H.R. 1154, 118th Congress (2023), https://www.congress.gov/bill/118th-congress/house-bill/1154. [54] Global Rights Compliance notes that Belgium, France (passed law on human rights due diligence in the value supply chain), United Kingdom, United States, Canada, Australia, and New Zealand have legal approaches, resolutions, and pending laws. p. 45. [55] For example, Caplan, A.L. (2020), The ethics of the unmentionable Journal of Medical Ethics 2020;46:687-688. [56] Caplan, A.L. , Danovitch, G., Shapiro M., et al. (2011) Time for a boycott of Chinese science and medicine pertaining to organ transplantation. Lancet, 378(9798):1218. doi:10.1016/S0140-6736(11)61536-5 [57] Robertson and Lavee. [58] Smolin, D. M. (2011). The Tuskegee syphilis experiment, social change, and the future of bioethics. Faulkner L. Rev., 3, 229; Gallin, S., & Bedzow, I. (2020). Holocaust as an inflection point in the development of bioethics and research ethics. Handbook of research ethics and scientific integrity, 1071-1090. [59] World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects, adopted by the 18th WMA General Assembly, Helsinki, Finland, June 1964, and amended multiple times, most recently by the 64th WMA General Assembly, Fortaleza, Brazil, October 2013. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
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Boesenberg, Eva. "Saving the Planet with Barbie?" M/C Journal 27, n.º 3 (11 de junho de 2024). http://dx.doi.org/10.5204/mcj.3069.

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In 2019, Mattel introduced a series of Barbie dolls in connection with National Geographic which included a Polar Marine Biologist, an Entomologist, a Wildlife Photojournalist, and a mostly "made from recycled ocean-bound plastic" Barbie ("Mattel Launches Barbie Loves the Ocean") followed in 2021. One year later, the company issued an "Eco-Leadership Team" composed of a Conservation Scientist, a Renewable Energy Engineer, Chief Sustainability Officer, and Environmental Advocate. This can be understood as an attempt to introduce children to the urgency of ecological issues and communicating to them the importance of research into climate change in an age-appropriate manner. Yet, despite the pedagogical opportunities the dolls might offer, I argue that their introduction and presentation primarily represents an instance of greenwashing, "the act or practice of making a product, policy, activity, etc. appear to be more environmentally friendly or less environmentally damaging than it really is" (Merriam-Webster). In order to support my thesis, I will analyse four issues: first, I will have a closer look at the way in which the four "Eco-Leadership" dolls express ecological concerns. I will then turn to the material Barbie is made of, plastic, and examine its environmental impact together with Mattel's "The Future of Pink Is Green" campaign. Next, I will discuss the conspicuous consumption Barbie models, focussing on the Malibu Dream House. I will address how this is entangled with settler colonialism in the fourth and final part. Eco-Leadership Barbie? The "Eco-Leadership" set, billed as "2022 Career of the Year" collection, consists of four dolls. They come in a cardboard box so that the toys are not immediately visible, and their accessories are stored in a paper bag inside. On the one hand, this makes the dolls less appealing, depriving the potential consumers of visual pleasure. On the other hand, this generates an element of suspense, much like a wrapped present. In keeping with Mattel's slogan "The Future of Pink Is Green", the colour pink is toned down, even though each doll sports at least one accessory in this colour. The toys are sold as a team, thus perhaps suggesting that "eco-leadership" is a collaborative project, which departs from the emphasis on individualism otherwise suggested by Barbie packaging. In their promotional material, Mattel mentions that all of the professional fields the dolls represent are male-dominated ("Barbie Eco-Leadership Team"). The combination of the careers featured makes a telling statement about Mattel's framing of ecological issues. First, there is a Conservation Scientist with binoculars and a notebook, implying that she is undertaking research on larger animals, presumably endangered species. Such a focus on mammals tends to downplay structural issues and the "slow violence" that affects ecological systems, as Arno Hölzer has argued (65). She is joined by a Renewable Energy Engineer with a solar panel, referencing the least controversial form of "green energy". Significantly, this is the classic blond Barbie. Together, these two dolls suggest that science and technology will find solutions to current ecological crises, global warming, et cetera (not that such issues are explicitly mentioned). The third doll is advertised as Chief Sustainability Officer. "She works with a company or organization to make sure their actions and products are economically, environmentally and socially sustainable", as Mattel puts it ("Barbie Eco-Leadership Team"). Here, businesses are portrayed not as the source of environmental pollution, but as part of the solution to the problem. While this is not entirely false, this particular approach to environmental issues is severely limited, firmly remaining within a neoliberal, capitalist ideology. It reflects what Dan Brockington and Rosaleen Duffy, following Sklair, term "mainstream conservation", which "proposes resolutions to environmental problems that hinge on heightened commodity production and consumption" (4). In this context, a company's promotion of "ethical consumption" "achieves its ethically positive results by not counting various aspects of the production and consumption of its commodities" (9). Finally, there's the Environmental Advocate – not activist (the term was probably too controversial). She is always mentioned last. Her poster reads: "Barbie loves the earth", possibly the most inane ecological slogan ever devised. It is made of plastic. Acquainting children with ecological issues in an age-appropriate manner is an important task. Playing environmental advocate, or scientist, might certainly be more educational in terms of ecological issues than many of the other career options the "I can be anything" series features. But the absence of a politician in the set, for instance, speaks volumes. The "recipe" for sustainability the dolls embody only requires a heavy dose of science and technology, whipped up by well-meaning entrepreneurship, with a little love for the planet sprinkled on top. One gets a prettier picture if one looks at the toys from different perspectives. The group is rather diverse, with a Black Conservation Scientist, an Environmental Advocate of Asian descent, and a Chief Sustainability Officer that might be Latinx, and "curvy". Again, though, there is a glaring omission. Indigenous people are not included, despite the fact that, due to environmental racism, they are among the communities most dramatically affected by environmental pollution. Benjamin F. Chavis Jr., who coined the term "environmental racism," defined it as racial discrimination in environmental policy-making, enforcement of regulations and laws, the deliberate targeting of communities of color for toxic waste disposal and the siting of polluting industries … , [and] the history of excluding people of color from the mainstream environmental groups, decision-making boards, commissions, and regulatory bodies. (Chavis 3) The consequences for Native Americans were and are severe. By 1999, Winona LaDuke notes, 317 reservations … [were] threatened by environmental hazards … . Reservations have been targeted as sites for 16 proposed nuclear waste dumps [and] [o]ver 100 … toxic waste [sites] … . There have been 1,000 atomic explosions on Western Shoshone land in Nevada, making the Western Shoshone the most bombed nation on earth. (LaDuke 2-3) The absence of an Indigenous doll in the Barbie "Eco-Leadership Team" is also noteworthy considering the long history of Native American and First Nations resistance to habitat destruction and environmental degradation, from nineteenth-century Lakota Little Thunder and Anishnaabe leader Wabunoquod (LaDuke 3, 5) to the #NoDAPL movement (Gilio-Whitaker 1-13). Following Robin Wall Kimmerer, one could even argue that sustainability, or "beneficial relations between people and the environment", are integral to Native (here: Potawatomi) culture (Kimmerer 6). On a very different note, any ecological consideration of Barbie dolls must also address their material properties. According to Mattel, the four dolls "are made from recycled plastic … , wear clothing made from recycled fabric and are certified CarbonNeutral® products" ("Barbie Eco-Leadership Team"). This does not apply to the heads and the hair, however – arguably the most distinctive parts of the toys. This had already been the case with the "Barbie Loves the Ocean" series ("Mattel Launches Barbie Loves the Ocean") – apparently, this is not an issue that can easily be fixed. In other words, only some components of the dolls are manufactured from recycled plastic. Further, in 2022, over 175 different Barbie dolls circulated, of which at least 166 were not made from recycled plastic (Google). To speak of "eco-leadership" is thus rather misleading. To further examine this, I want to have a closer look at the materials the dolls consist of. Life in Plastic… For a while now, it has become common knowledge that "life in plastic" might not be so "fantastic" after all, Aqua's song notwithstanding. Plastic pollution of the oceans is a huge problem, killing birds, whales, and other seaborne animals; so are non-biodegradable plastic landfill, neo-colonial waste export, the detrimental health effects of phthalates in plastic, and so on (Moore, Freinkel). But what James Marriott and Mika Minio-Paluello call the uneven "distribution of violence" during the transformation of fossil fuel into plastic is less well known. Oil production and transport are frequently militarised, they show, with company interests taking precedence over human rights (173-74, 176). Heavily guarded pipelines cut through traditional grazing and farming areas, endangering people's livelihoods as well as local ecosystems (Marriott and Minio-Paluello 176, 178-79). To the consumers who buy the plastic produced from this oil, such violence is invisible, not least because production processes and their environmental consequences are actively screened from view by fossil fuel companies and local governments (173-74). "Although these social and environmental impacts are inherent within its constitution, the plastic product in its uniformity is seemingly wiped clean of all that violence and disruption", the authors conclude (181). Where these matters have rarely been discussed in academic research on Barbie, they garnered significant public interest around the time the movie was released in 2023. That the film itself received the Environmental Media Association (EMA) gold seal (Plastic Pollution Coalition) did not lay such concerns to rest. "After the movie frenzy fades, how do we avoid tonnes of Barbie dolls going to landfill?", Alan Pears asked in The Conversation. Waste Online highlighted the "Not-So-Pretty Side of Plastic Toys", Tatler headlined "How Barbie is making climate change worse", and in Medium, Eric Young even aimed to show "How To Save The World from the Toxicity of Barbie!" (with an exclamation rather than a question mark). Based on a 2022 study by Sarah Levesque, Madeline Robertson, and Christie Klimas, Pears noted that "every 182 gram doll caused about 660 grams of carbon emissions, including plastic production, manufacture and transport" (Pears 2). According to Duke Ines, CEO of Lonely Whale, a campaign devoted to protecting the oceans, "80% of all toys end up in a landfill, incinerators, or the ocean" (Mendez 3). Discarded toys make up around 6% of all plastic in landfills (Levesque et al. 777). There are estimates that, by 2030, in the US emissions from plastic production will supersede those from coal (Pears 2). Mattel seems to have recognised the problem. In 2021, the company announced its "The Future of Pink Is Green" campaign as part of its "goal to use 100% recycled, recyclable or bio-based plastic materials and packaging by 2030" ("Mattel Launches" 2). The efforts include educational vlogger episodes and Mattel PlayBack, a toy return program aimed at recycling materials in toy production. With Barbie, this is difficult, though. As Dorothea Ruffin and others have noted, the dolls are composed of different kinds of plastics. The heads consist of hard vinyl, with water-based spray paint used for the eyes; the torso is manufactured from ABS (acrylonitrile butadiene-styrene), the arms of EVA (ethylene-vinyl acetate), and the legs of polypropylene and PVC (polyvinyl chloride) (Ruffin 2). This makes recycling difficult, perhaps even unfeasible. So in effect, I agree with environmental educator Kristy Drutman that Mattel's eco-friendly self-presentation currently qualifies as greenwashing (Mendez 2). With Lyon's and Maxwell's description of the practice as "selective disclosure of positive information about a company's environmental or social performance, without full disclosure of negative information on these dimensions, so as to create an overly positive corporate image" (9) as reference point, it becomes clear that Mattel's strategy perfectly fits this pattern. Their recycling efforts concern only a small number of the Barbie dolls they produce, and even those are only partly fashioned from salvaged material. Both the release of the "Eco-Leadership" set and the "The Future of Pink Is Green" campaign seem designed primarily to bolster the company's reputation. Conspicuous Consumption and the Malibu Dream House A central component of the problem is the scale of plastic toy consumption, as Levesque et al. observe. Mattel sells around 60 million Barbies annually (Ruffin 2). This amounts to over one billion dolls since 1959 (ETX Daily UP 2). What the scientists call "the overproduction and purchase of toys" (Levesque et al. 791) testifies to the continued centrality of "conspicuous consumption", the demonstrative, wasteful squandering of resources which, as Thorstein Veblen already noted in 1899, signifies and produces social distinction (Veblen 53; cf. 43-72). As he argued, "an unremitting demonstration of ability to pay" (Veblen 54) was and is central for upholding not only one's social standing, but also one's self-esteem. This is at the core of Mattel's business model: stimulating repeated purchases by issuing and marketing ever-new, "must-have" dolls, clothing, and other accessories. These tend to normalise an upper-class lifestyle, as Barbie's sports car, horse, and dream house attest. The Malibu Dream House, part of the Barbie universe since 1962, plays a specific role in this context. It symbolises fun, conspicuous leisure, and glamour. With its spectacular beaches, its exclusiveness, and its proximity to Hollywood celebrity culture, Malibu represents the apex of social aspiration for many people. Houses are also sexy, as Marjorie Garber observes in Sex and Real Estate. "Real estate today has become a form of yuppie pornography. … Buyers are entering the housing market with more celerity (and more salaciousness?) than they once entered the marriage market" (Garber 3, 4). The prominence of the house in the Barbie movie is thus not incidental. Malibu is among the most expensive locations in the US. The median property value is US$4.25m. Due to its beachfront location, its "iconic design" and "cultural value", local brokerage Ruby Home estimated that "the price of the doll's DreamHouse [could be] an eye-watering $10 million" (McPherson). With the understatement typical of the profession, the author of the article writes: "unsurprisingly, Barbie’s home would only be available to high-net-worth buyers". This does more than reinforce classism. The richest segment of the global population also has an inordinately large carbon footprint and overall negative impact on climate change. According to Oxfam, the richest 1% produced 16% of global consumption emissions in 2019. The propagation of Malibu Dream House living thus does not exactly rhyme with "eco- leadership". Barbie and Settler Colonialism The wasteful, environmentally detrimental lifestyle of the very wealthy is part and parcel of US settler colonialism. Unlike other forms of colonialism, settler colonialism attempts to replace the Indigenous population. The term does not only signify a devastating past but names an ongoing process, since Native people have not in fact "disappeared". Lorenzo Veracini puts it succinctly: "settler colonialism is not finished" (Veracini 68-94). As Patrick Wolfe famously wrote, "'settler-colonial state' is Australian [and US] society's primary structural characteristic rather than merely a statement about its origins… . Invasion is a structure not an event" (163). Malibu is traditional Chumash territory. The name derives from the Ventureño Chumash word Humaliwo, meaning "where the surf sounds loudly" (Sampson). The Chumash were forcibly deprived of their land by the Spanish Mission system in the late eighteenth and nineteenth centuries. Deborah A. Miranda has movingly detailed the traumatic effects of this violence in her memoir Bad Indians. But the Chumash are not gone. In fact, the Wishtoyo Chumach Foundation, whose mission it is to "protect and preserve the culture, history, and lifeways of Chumash and Indigenous peoples, and the environment everyone depends on", runs Chumash Village, "with a goal of raising awareness of Chumash people's historical relationship and dependence upon the natural environment as a maritime people", right in Malibu (Wishtoyo Chumach Foundation). None of this is mentioned by Mattel or the Greta Gerwig movie, which does not only signal a missed opportunity to demonstrate "eco-leadership". Rather, such an omission is typical for settler colonial culture. In order to buttress their claim to the land, settlers try to write Indigenous people out of North American history through a strategy White Earth Ojibwe scholar Jean O'Brien has called "firsting", that is, claiming the European settlers were there first, they "discovered" something, etc. The opening of the movie is a classic example. To the voiceover of "since the beginning of time – since the first little girl ever existed", it shows not Native inhabitants, but European American children in vaguely historical, possibly nineteenth century settler clothing. At other points, Barbie's and Ken's cowboy outfits, their glaring whiteness, references to Davy Crockett and, as Stentor Danielson mentioned in their presentation on "Barbieland's Fantasy Ecology: Terra Nullius on the Pink Beach" at the conference "'You Can Be Anything': Imagining and Interrogating Barbie in Popular Culture", to the Black Hills aka Mount Rushmore, clearly mark them as settlers. J.M. Bacon has coined the term "colonial ecological violence" to reference the ways in which environmental degradation and settler colonialism are inextricably intertwined (59). Effectively combatting environmental pollution thus also requires addressing settler colonial economic, social, and cultural structures. As Dina Gilio-Whitaker has forcefully argued, the success of environmental justice movements in the US, especially vis-à-vis the fossil fuel industry, may depend on building coalitions with Indigenous activists. Some of the most promising examples actually come from California, where beaches have been protected from corporate development because sacred Native sites would have been negatively affected (148). "It may well be that organizing around Native land rights holds the key to successfully transitioning from a fossil-fuel energy infrastructure to one based on sustainable energy", Gilio-Whitaker concludes (149). "Effective partnerships with allies in the environmental movement will provide the best defence for the collective well-being of the environment and future generations of all Americans, Native and non-Native alike" (162). This is a far cry from any policy Mattel has so far advertised, not to mention implemented. Conclusion In different respects, the promise of "Eco-Leadership" Barbies rings hollow. Not only do they suggest an extremely limited understanding of environmental concerns and challenges, Mattel's breezy pronouncements are clearly at odds with its simultaneous boosting of conspicuous consumption, let alone the focus on financial profit generally characteristic for its managerial decisions. In light of the enormous environmental problems generated by the manufacturing and disposal of the dolls, the waste-intensive upper-class lifestyle Barbie outfits and accessories promote, and finally the de-thematising of capitalism and settler colonialism both in Mattel's Barbie discourses and the 2023 Barbie movie, the company's attempts to project an ecologically conscious image seem primarily designed to capitalise on an increasing awareness of ecological problems in Mattel's target audience, rather than constituting a serious reconsideration of its unsustainable corporate strategies. References Bacon, J.M. "Settler Colonialism as an Eco-Social Structure and the Production of Colonial Ecological Violence." Environmental Sociology 5.1 (2019): 59-69. Brockington, Dan, and Rosaleen Duffy. "Introduction: Capitalism and Conservation: The Production and Reproduction of Biodiversity Conservation." In Capitalism and Conservation, eds. Dan Brockington and Rosaleen Duffy. Wiley Online Books, 2011. <https://doi.org/10.1002/9781444391442.ch>. Chavis, Benjamin F., Jr. “Foreword." In Confronting Environmental Racism: Voices from the Grassroots. Ed. Robert Bullard. Boston: South End P, 1993. 3–5. Checker, Melissa. Polluted Promises: Environmental Racism and the Search for Justice in a Southern Town. New York: New York UP, 2005. Danielson, Stentor. "Barbieland's Fantasy Ecology: Terra Nullius on the Pink Beach." Presentation at the conference "'You Can Be Anything': Imagining and Interrogating Barbie in Popular Culture", University of New England, 26 Mar. 2024. ETX Daily UP. "How Barbie Is Making Climate Change Worse." Tatler Asia, 7 Aug. 2023. 16 Feb. 2024 <https://www.tatlerasia.com/power-purpose/sustainability/barbie-plastic-waste>. Freinkel, Susan. Plastic: A Toxic Love Story. Boston: Houghton Mifflin Harcourt, 2011. Garber, Marjorie. Sex and Real Estate: Why We Love Houses. New York: Pantheon Books, 2000. Gilio-Whitaker, Dina. As Long as Grass Grows: The Indigenous Fight for Environmental Justice, from Colonization to Standing Rock. Boston: Beacon P, 2019. Google. "How Many Different Barbies Are There 2022?" 11 May 2022. 17 May 2024 <https://www.google.com/search?client=firefox-b-d&q=Barbie+how+many+2022+releases%3F>. Gordon, Noah. “Barbie and the Problem with Plastic.” Carnegie Endowment for International Peace, 20 July 2023. 16 Feb. 2024 <https://carnegieendowment.org/2023/07/20/barbie-and-problem-with-plastic-pub-90241>. Merriam-Webster. “Greenwashing.” N.d. 5 May. 2024 <https://www.merriam-webster.com/dictionary/greenwashing>. Hölzer, Arno. "Aesthetic Strategies of the WWF – Reinforcing the Culture-Nature Dichotomy." MA thesis. Berlin: Humboldt University, 2018. Kimmerer, Robin Wall. Braiding Sweetgrass: Indigenous Wisdom, Scientific Knowledge, and the Teaching of Plants. Milkweed Editions, 2013. LaDuke, Winona. All Our Relations: Native Struggles for Land and Life. Chicago: Haymarket Books, 1999. Levesque, Sarah, Madeline Robertson, and Christie Klimas. “A Life Cycle Assessment of the Environmental Impact of Children's Toys.” Sustainable Production and Consumption 31 (2022): 777–93. Lyon, T.P., and A.W. Maxwell, "Greenwash: Corporate Environmental Disclosure under Threat of Audit." Journal of Economics and Management Strategy 20 (2011): 3-41. Marriott, James, and Mika Minio-Paluello. “Where Does This Stuff Come From? Oil, Plastic, and the Distribution of Violence.” Accumulation: The Material Politics of Plastic. Eds. Jennifer Gabrys, Gay Hawkins, and Mike Michael. London: Routledge, 2013. 171–83. Mattel. "Barbie Eco-Leadership Team (2022 Career of the Year Four Doll Set)." Product Description. N.d. 28 Jan. 2024 <https://creations.mattel.com/products/barbie-eco-leadership-team-2022-career-of-the-year-four-doll-set-hcn25>. ———. "Barbie Sustainability / The Future of Pink Is Green." 11 Apr. 2024. 29 Jan. 2024 <https://shop.mattel.com/pages/barbie-sustainability>. ———. "Mattel Launches Barbie Loves the Ocean; Its First Fashion Doll Made from Recycled Ocean-Bound* Plastic." 10 June 2021. 16 Feb. 2024 <https://corporate.mattel.com/news/mattel-launches-barbie-loves-the-ocean-its-first-fashion-doll-collection-made-from-recycled-ocean-bound-plastic>. ———. "The Future of Pink Is Green: Barbie Introduces New Dr. Jane Goodall and Eco-Leadership Team Certified CarbonNeutral® Dolls Made from Recycled Ocean-Bound Plastic." 12 July 2022. 29 Jan. 2024 <https://corporate.mattel.com/news/the-future-of-pink-is-green-barbie-introduces-new-dr-jane-goodall-and-eco-leadership-team-certified-carbonneutral-dolls-made-from-recycled-ocean-bound-plastic>. McPherson, Marian. "Barbie's Malibu DreamHouse Would Command $10M — If It Was Real." Inman Select, 5 July 2023. 2 Mar. 2024 <https://www.inman.com/2023/07/05/barbies-malibu-dreamhouse-would-command-10m-if-it-was-real/>. Méndez, Lola. “There’s a Recycled Barbie Now, But Are Plastic Toys Really Going Green?” Live Kindly 2024. 16 Feb. 2024. <https://www.livekindly.com/plastic-toys/>. Miranda, Deborah A. Bad Indians: A Tribal Memoir. Berkeley, CA: Heyday, 2013. Moore, Charles, and Cassandra Phillips. Plastic Ocean: How a Sea Captain's Chance Discovery Launched a Determined Quest to Save the Oceans. New York: Avery, 2011. O'Brien, Jean. Firsting and Lasting: Writing Indians Out of Existence in New England. Minneapolis: U of Minnesota P, 2010. Oxfam International. “Richest 1% Emit as Much Planet-Heating Pollution as Two Thirds of Humanity.” 20 Nov. 2023. 28 Feb. 2024 <https://www.oxfam.org/en/press-releases/richest-1-emit-much-planet-heating-pollution-two-thirds-humanity>. Pears, Alan. “In a Barbie World … after the Movie Frenzy Fades, How Do We Avoid Tonnes of Barbie Dolls Going to Landfill?” The Conversation 17 July 2023. 16 Feb. 2024 <https://theconversation.com/in-a-barbie-world-after-the-movie-frenzy-fades-how-do-we-avoid-tonnes-of-barbie-dolls-going-to-landfill-209601>. Ruffin, Dorothea. “Is Life in Plastic Recyclable after All?” Plastic Reimagined 3 Aug. 2023. 26 Mar. 2024 <https://www.plasticreimagined.org/articles/is-life-in-plastic-fantastic-after-all-the-aftermath-of-barbie>. Sampson, Mike. ''Humaliwo: Where The Surf Sounds Loudly.'' California State Parks, n.d. 5 May 2024 <https://www.parks.ca.gov/?page_id=24435>. Veblen, Thorstein. The Theory of the Leisure Class. New York: Dover Publications, 1994 [1899]. Veracini, Lorenzo. The Settler Colonial Present. Hampshire: Palgrave Macmillan, 2015. Waste Online. “From Pink Paint to Landfills: Barbie's Blockbuster Movie and the Not-So-Pretty Side of Plastic Toys.” 10 Aug. 2023. 16 Feb. 2024 <https://wasteonline.uk/blog/barbies-blockbuster-movie-and-the-not-so-pretty-side-of-plastic-toys/>. Wishtoyo Chumash Foundation. 2022. 28 Feb. 2024 <https://www.wishtoyo.org/>. Wolfe, Patrick. Settler Colonialism and the Transformation of Anthropology: The Politics and Poetics of an Ethnographic Event. London: Cassell, 1999. Young, Eric. “How to Save The World from the Toxicity of Barbie!” Medium 18 July 2023. 16 Feb. 2024 <https://medium.com/@eric3586young/how-to-save-the-world-from-the-toxicity-of-barbie-5a09f02d4438>.
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Locke, Kathryn, Katie Ellis e Katharina Wolf. "Auditory Learner". M/C Journal 27, n.º 2 (13 de abril de 2024). http://dx.doi.org/10.5204/mcj.3029.

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Introduction This study examines the ways in which students and staff in higher education use and engage in audio, both in everyday life and within the university setting. Specifically, we explore if the increasingly diverse student population utilise audio as part of a personalised approach to learning. Increasing student engagement in online delivery through a personalised approach to learning is a vital area of focus in contemporary pedagogy internationally. The rapid move to online delivery during the COVID-19 pandemic revealed both opportunities and challenges for learners with diverse digital access requirements (Ellis et al. 17). Along with captions – which have been embraced as an accessibility feature by the entire student population (Ellis et al.) – the use of audio has increased (Peaty et al. 7). Digital accessibility has typically focussed on the availability of captions, yet the experience of many students during COVID-19 pandemic-imposed remote learning activities shows that audio also offers great potential for personalisation, accessibility, and engagement. With audio options following the trajectory of captions in both education and entertainment contexts to become recognised as a personal preference (Ellis 167), this article examines whether higher education has responded to the ‘audio turn’. Moreover, it seeks to answer how students, as a diverse population, utilise audio as part of their learning experience. The ‘audio turn’ refers to the recent period marked by the COVID-19 pandemic, alongside the increase in (and use of) audio platforms and features. However, it should also be acknowledged that this audio turn is also part of a longer history of technology-enabled audio pedagogy, encompassing transitions from vinyl to cassette tape, and analogue to digital. These specific changes over approximately the last five years have been captured in the literature on the rise of audio description (see for example Peaty et al.; Piñeiro-Otero and Pedrero-Esteban), audiobooks and “listening culture” (Snelling 648), studies on the uptake of podcasts and digital radio (St. Aubin), and popular articles (Forbes). In a relatively short period of time, audio book sales, podcasting, digital music consumption, and audio accessibility (including audio description) have increased significantly. The culmination of new business models (e.g., Spotify’s audio-first strategy; Kilberg and Spilker 156) and the specific remote learning/working, lockdown environments generated by COVID-19 mitigation policies further facilitated this audio turn. The rise of the value and use of audio also extended into the university context, which prompted new literature on audio learning strategies (Wake et al. 30; Jensen and Veprinska). However, the question arises: despite the increased interest in audio, has higher education pedagogy adapted to reflect learning options and preferences? Audio in Higher Education Over the past decade, a body of research has emerged that highlights opportunities for audio in the higher education context; however, there remains a lack of research on the potential of audio more broadly for learning personalisation and accessibility. Most of the existing research on audio supported pedagogy has centred around the value of audio feedback on assessments (Knauf 442; Sarcona et al. 47; Heimbürger 106). With over a decade of publications on this type of audio-supported learning, researchers have found audio feedback to be divisive, in part due to the varied nature in which it is applied and received (Hennesy and Forrester 778), but Sacona et al. (58) emphasise students’ desire for the availability of both modalities of feedback (audio and written). Other audio learning alternatives discussed in the literature on audio-supported pedagogy include podcasts (McGarr; Gunderson and Cumming 591; Gachago et al. 859) and, to a lesser degree, the role of audio description (Pintado et al.), which may in part be the result of the recency of use of audio description in the media more broadly. One of the key features of more recent (post-2020) research into various audio alternatives or audio-supported learning options was the consistent observation that audio is an important part of universal design for learning (UDL) and its value and appeal for an increasingly diverse student population. UDL is an important concept in understanding the role of audio in higher education, as it is not simply focussed on ‘access to the classroom’, but the ways in which access to educational content, texts, and teaching is considered. It is centred on three principles: multiple means of representation, multiple means of engagement, and multiple means of expression (Cumming and Rose 1026). Pertinent to our research, UDL emphasises multiple formats for learning materials, including audio. Moreover, developed in the early 2000s, UDL recognises the role of digital technology in addressing the needs of an increasingly diverse student population (Edyburn 16). It is adapted from Universal Design (UD), which is based on a set of principles: equitable use, flexibility in use, simple and intuitive use, perceptible information, tolerance for error, low physical effort, and size and space for approach and use (Centre for Universal Design). While acknowledging the broader research literature and debates around cognitive styles, learning strategies, learning styles, and their efficacy in instruction (Cassidy 420), this project uses the term ‘learning preferences’ to capture the preferred, individual approaches to a task or learning situation. Auditory preferences are common amongst most models of learning styles; however, the scope of this study did not extend to other learning preferences or alternatives. Instead, this pilot research project, informed by the ‘audio turn’ and increased interest in UDL, sought to better understand how students and staff in the university context perceive, utilise, and engage with audio, both in everyday life and in higher education. Methodology The rationale for this project is based on UDL theories of flipped learning (Wolf et al.) and the use of captions in teaching and learning (Ellis et al.). UDL seeks to remove barriers and emphasises the importance of creating learning environments that offer multiple ways of engaging with content, and of accessing and representing information (Behling and Tobin 2). Wolf et al.’s research on flipped learning (replacing traditional lectures with online recordings) discovered that students who self-diagnosed attention deficit issues preferred the online option as it allowed them to break learning into small chunks. The opportunity to personalise study experiences to meet individual learning preferences was valued by the entire cohort, including students who preferred on-campus and face-to-face learning. These findings informed the development of a multimodal methodology in which participant responses are gathered from both researchers’ questions and from interaction and engagement with alternative learning formats. Firstly, a survey on the use of audio in everyday life and learning environments was created via Qualtrics and disseminated to students and staff. This was achieved in conjunction with the Digital Student Engagement Team, who promoted the survey via internal channels, Digital Screens, and Instagram stories. Several of the Faculties and Schools taking part in the research also distributed links to the survey via internal emails and the university’s learning platform. The survey was open for a ten-week period in the second half of 2023. Secondly, this project trialled embedding audio in teaching resources within four different units across two Faculties (Humanities and Business and Law), and then obtained feedback from students on their interactions with these new learning formats. Specifically, we added audio description to key resources in each unit, provided the option for audio feedback on at least one assignment per unit, and offered an audio version of the assessment guide. Students in the participating units were then invited to partake in an end-of-study-period focus group that discussed their uptake of and experience with the additional audio resources. The semi-structured discussions were facilitated in-person for on-campus units, and online via WebEx for offshore and online cohorts. The qualitative results from the focus groups and survey underwent thematic analysis. Research Findings Across both the survey findings and focus group discussions it emerged that audio played a pivotal role in students’ everyday life, and that this role had both increased in the past four years and manifested into a desire to utilise more audio alternatives in their learning experiences. There was a clear awareness of individuals’ personal learning preferences and what format they best responded to, as well as recognition that peers may have other preferences. These different types of learning preferences were reflected in the varied responses to extra audio-based learning material; while some students appreciated audio feedback on assessments, others preferred written feedback, in particular for ease of referencing and in order to refer back to it at a later point in time. Through the learner lens, audio does not appear to have replaced written learning material; instead, it is seen as complementary – and vice versa. Demographics Of the 268 survey participants (supplemented by an additional 31 focus group participants), 16.5% were staff. The responses primarily came from first-year students (26%), with relatively similar percentages of second-, third-year, and postgraduate students. In keeping with these enrolment demographics, most respondents were between the ages of 18 and 24 (43%). Students and staff in the Faculty of Humanities were significantly represented (57%), and most participants studied or taught online for some or all of the time (33% stated that they studied or taught both in person and online). Fig. 1: Age of participants Fig. 2: Faculty participation Fig. 3: Type of study Research on UDL (Bracken and Novak 8) identifies that specific groups of students may benefit more from accessible learning options, thus we explored respondents' background further: 73% of our survey respondents spoke English as their first language, 21% were mature-age students (commencing university after 20 years of age), 16% were international students, and 2% were of Aboriginal or Torres Strait Islander descent. Universal design is particularly pertinent for students with disabilities, due to the provision of “multiple ways of engaging with content” (Behling and Tobin 2), including audio learning alternatives. While we acknowledge that students do not always identify as having a disability, for a variety of reasons (Roberts et al. 249), 16% stated that they had a disability, with the most commonly cited disability being Attention Deficit Hyperactivity Disorder (ADHD). Almost half of respondents with a disability cited multiple disabilities. Use of Audio in Everyday Life Participants were asked a series of questions about their use of audio in everyday life. Students acknowledged audio as an important and consistent part of everyday life, with music playing a significant role. It was clarified that audio is perceived as important for many reasons; used to multitask, for information and entertainment, for mental stimulation and in order to ‘get into the zone’ (e.g., for exams), for relaxation, and as a way of ‘filling space’ and avoiding silence. Though the most popular audio platforms were streamed music (71% of respondents stating they used apps like Spotify or Apple Music daily), podcasts were also consumed daily or a few times a week by 43% of respondents. The age of respondents did impact on the type of audio formats used – respondents under the age of 24 were less likely to listen to audio books (81% stated they rarely or never did), but 93% listened to streamed music. Importantly, the suggested rise of the importance of audio during the ‘pandemic years’ (Peaty et al. 7; St. Aubin) aligned with our research findings: 64% of respondents stated that their use of audio content had increased over the last four years. Expectations and Uptake of Audio in Higher Education Across both the focus groups and the survey, learners expressed a clear interest in using more audio learning options. 53% of all respondents stated that they would use more audio content in their higher education experience if it was offered. Only 5% said they would not. The most popular audio option was audio recordings of lectures and/or tutorials, with 46% stating they would use this option, while audio books or text-to-speech conversions for readings and academic articles were also desired. Fig. 4: Audio learning preferences For audio assessments and audio feedback on assessments, the results were more divisive, which is in line with extant research (Knauf 442; Sarcona et al. 47). From the comments provided, it was evident that personal learning and assessment preferences impacted on whether these options would suit individuals. Being able to quickly refer back to key points was also highlighted as an advantage of written feedback, or at least access to a transcript of the audio feedback. However, audio feedback was also perceived as providing advantages: “tonality really helps when communicating feedback, more easily emotionally received. Potential to be conversational – in my experience of getting feedback in person conversation has always been more beneficial.” International students, in particular, emphasised that written feedback can come across as harsh and impersonal. Being able to hear the educator’s voice was perceived as making feedback more personal and digestible. However, whilst written feedback enables leaners to skim over comments and in particular challenging points, audio feedback requires deeper engagement, which was not always considered as welcome. Staff were more reluctant to use audio learning alternatives (only 32% said they would use more audio content, a further 57% said they might, and 11% said they would not), citing concerns around workload and applicability to subject/unit. Improving Accessibility and the Role of Audio There was an array of alternative suggestions for improving the accessibility of higher education, either through increased audio options or other approaches. The use of captions (or descriptions) for lectures, podcasts for tutorials, and more interaction options for online tutorials emerged as a key theme. As one student explained, audio formats can allow for increased accessibility: “I like the idea of podcasts and audio books – this would help people like me who struggle with sitting down and fully focussing on reading material, people who experience neurodiversity”. Students again showed a clear understanding of how different learning formats could align with personal learning preferences. Moreover, they demonstrated critical awareness of the capabilities (and deficits) of existing university platforms and formats: the user experience for [the online learning platform] is poorly designed and not interactive enough… . I think online learning should incorporate visual image and video, live interactive quizzes, drop out rooms with students and interactive participation. Participants expressed a clear interest in accessible audio materials – audiobooks, audio recordings, convertible formats – and often this was aligned with the reasons for why students used accessibility features: more accessible content allows them to absorb information more easily, multitask, and to be efficient and effective in study. Noticeable was their awareness that accessible learning options were more inclusive and were aligned with a diverse student population. Participants reported that learning strategies, such as using text-to-audio conversion to check the syntax and flow of written assignment, or audio-to-text conversion for early assessment drafts, were largely self-discovered solutions to meet personal needs and preferences. Comments indicate a lack of formally taught strategies and audio-linked toolkits, further suggesting skills gaps – and possibly a preference for more traditional learning approaches – among teaching staff. Discussion While this pilot project provided limited reflections on the value of audio in higher education due to being limited to a single higher education institution, there are several clear themes that have emerged from our research that require further investigation and replication across multiple institutions, disciplines, and cohorts. Importantly, our findings highlight students’ desire for more audio, and accessible audio, in their learning experience; an awareness of individual learning preferences; and a gap between students’ expectations of multiple learning formats and the ability of the university to provide audio-supported pedagogy. Accessible, personalised and audio formats have become an expectation both within and outside of higher education (driven in part by increasing options in the broader media landscape). While the most common accessibility feature used by students (within and outside of higher education) is captions, students showed a clear interest in, and use of, audio formats (books, lectures, academic articles) and audio-described lectures. However, it should be noted that audio description is currently underutilised in higher education, and, while increasingly available (Peaty et al. 4), also not a standard inclusion in the broader media context. Therefore, we anticipate that audio description will begin to play a more significant role, particularly with the increase in AI. There was a clear awareness amongst students of their own learning preferences, and how audio alternatives and accessibility features might facilitate their personal education experience. Moreover, there was an understanding of the diversity of learning preferences amongst other students: “I am a visual learner, but I know for other students, audio might be more useful”. In the learning environment, students reflected not only on their use of audio materials, but of a range of formats. Several students noted that their preference was to engage with a combination of audio-visual materials, or to use audio as a “back-up” if information was missed or misunderstood. One student noted that they would record themselves reading their own essay once they had written it as a way of picking up mistakes. Students demonstrated a range of innovative strategies or tools to aid in learning or assessments, but these were largely personalised approaches outside of the tools or affordances the university offered. The different types of learning preferences identified in the focus groups were reflected in the varied responses to the extra audio-based learning material that had been provided to them during the semester. While some students appreciated audio feedback on assessments, others preferred written feedback. This confirmed responses from the earlier survey. The results of our pilot study reveal several key ‘disconnects’ between the perceptions, desires, and practices of students and staff, and the practical, effective implementation of audio learning strategies in the university context. As previously noted in relation to the use of captions in universities (Ellis et al.), higher education fails to be both at the forefront of and responsive to audio accessibility and audio format opportunities. The results allude to several reasons for this deficit: insufficient communication of what is available and how to access it, outdated or insufficient platforms that support audio learning options, lack of investment in new tools and technologies, limited professional opportunities to upskill staff, workload implications, and a lack of essential infrastructure (e.g. recording studios). For example, despite the provision of extra audio formats in the units involved in this research project, there were many students who were not aware of them, and during the focus groups students had to be prompted several times and provided with cues in order for them to remember these options. Moreover, students had also not been aware of audio options that currently exist as built-in features – such as voice notes to record audio feedback on assessments – and very few had ever experienced these audio learning options in the university setting, in part due to the lack of uptake of this feature by staff. Indeed, there are fundamental deficits in the utilisation of audio alternatives and accessibility features by staff. As one staff member explained, “audio can be far more personal and engaging. However, a big caveat here … . Audio production of content for teaching requires professional audio editing support. It is not something that can easily be added to academic workload”. Here, staff identify the extra ‘work’ and professional skills involved in the utilisation and production of accessible audio formats. For example, including audio description for a lecture involves media production skills, the navigation (and employment of) specific audio description software, as well as fundamental accessibility knowledge – all of which is rarely taught or provided for in higher education. We found gaps in the awareness of and the ability (both in terms of time and professional skills) of university staff to employ the ‘access work’ and ‘media work’ (Ellcessor 325; Hickman 6), and a lack of understanding of the opportunities for and benefits of audio-supported pedagogy. In our survey, while staff similarly engaged with audio regularly in their everyday lives, they were more reluctant to use audio learning alternatives in a higher education setting, citing concerns around workload and applicability to subject or unit. I teach units that deal primarily with writing, so I'm more interested in speech-to-text rather than the other way round. I feel that audio submissions of assessments widen the digital and linguistic divide, particularly for mature-age students and international students, who form a major cohort of many online units that I teach. Furthermore, the casualisation of teaching in higher education often places (typically unpaid) responsibility on tutors to upskill and self-navigate options for accessible teaching. Conclusion This study indicates that learners are frequently much more aware of their own needs, preferences, and potential tools to address these, than the facilitators of higher education learning experiences. Findings call for a rethink of higher education learning experiences, away from a standard delivery model – as often preferred by learning institutions – to mixed-mode experiences that both keep learners engaged and respond to the ‘audio turn’. One such example is the traditional lecture, which over the past years has increasingly moved online. However, delivery approaches have hardly changed. The assumption remains of the lecturer as expert, who talks to an audience that very much engages with a commentary to lecture slide content in real time. What these recordings – either of in-class deliveries or pre-recorded content – fail to acknowledge is shortened attention spans, as well as the fact that an increasing number of learners exclusively engage with learning content ‘on the go’ or whilst multi-tasking. Rather than putting text – or lecture slides and other visual materials – first, a rethink of the traditional lecture as ‘podcast’, with an increased focus on verbal cues, descriptions, and storytelling techniques could enable facilitators to meet students ‘where they are’: on the go, multitasking, and wanting to listen. 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