Realist Stance Research Articles

“GO AND GET IT CHECKED”: EXPLORING THE DECISION TO ATTEND THE EMERGENCY DEPARTMENT FOR LOW BACK PAIN

Purpose and backgroundLow back pain burdens individuals, society and services, including Emergency Departments (ED), straining services and prolonging wait times. Despite reported personal influences on deciding to attend ED, the role of third-party advice remains underexplored. Sparse guidance for clinicians and service-users highlights the need for effective back pain management strategies, to alleviate system pressure and optimise patient outcomes. This study explored how advice influences the decision to attend the ED for back pain.Methods and ResultsFrom a subtle realist stance, the design was a secondary analysis of qualitative data, where 47 patients (26M:21F, aged 23–79 years) with back pain were purposively sampled from four EDs (2 Northern and 2 Southern) in England between August and December 2021. Eight patients had previously visited ED for this episode of back pain. As this was during the pandemic, semi-structured interviews were conducted online, audio-recorded, transcribed verbatim and analysed using a reflective thematic analysis.Three themes were identified as crucial in making the decision to attend ED: The Healthcare professional; Trusted others; and the Individual. Healthcare professionals often dictated decisions, leaving participants feeling powerless. Trusted others provided varying support levels, often acting as allies. Individuals grappled with anxieties around their condition and treatment expectations.ConclusionThis study highlights the need for clinicians to provide clarity and guidance to individuals and their Trusted others, seeking advice regarding escalation to visit the ED with back pain. There was evidence that worrying about pain was a significant motivator for attending ED, resulting in malalignment with current practice guidelines.No conflicts of interest Sources of fundingFunding for primary data: Health Education England & National Institute of Health and Care Research (ICA-CDRF-2018-04-ST2-040)

Training as imagined? A critical realist analysis of Scotland’s internal medicine simulation programme

BackgroundEvaluating the impact of simulation-based education (SBE) has prioritised demonstrating a causal link to improved patient outcomes. Recent calls herald a move away from looking for causation to understanding ‘what else happened’. Inspired by Shorrock’s varieties of human work from patient safety literature, this study draws on the concept of work-as-done versus work-as-imagined. Applying this to SBE recognises that some training impacts will be unexpected, and the realities of training will never be quite as imagined. This study takes a critical realist stance to explore the experience and consequences, intended and unintended, of the internal medicine training (IMT) simulation programme in Scotland, to better understand ‘training-as-done’.MethodsCritical realism accepts that there is a reality to uncover but acknowledges that our knowledge of reality is inevitably our construction and cannot be truly objective. The IMT simulation programme involves three courses over a 3-year period: a 3-day boot camp, a skills day and a 2-day registrar-ready course. Following ethical approval, interviews were conducted with trainees who had completed all courses, as well as faculty and stakeholders both immersed in and distant from course delivery. Interviews were audio-recorded, transcribed verbatim and analysed using critical realist analysis, influenced by Shorrock’s proxies for work-as-done.ResultsBetween July and December 2023, 24 interviews were conducted with ten trainees, eight faculty members and six stakeholders. Data described proxies for training-as-done within three broad categories: design, experience and impact. Proxies for training design included training-as-prescribed, training-as-desired and training-as-prioritised which compete to produce training-as-standardised. Experience included training-as-anticipated with pre-simulation anxiety and training-as-unintended with the valued opportunity for social comparison as well as a sense of identity and social cohesion. The impact reached beyond the individual trainee with faculty development and inspiration for other training ventures.ConclusionOur findings highlight unintended consequences of SBE such as social comparison and feeling ‘valued as a trainee, valued as a person’. It sheds light on the fear of simulation, reinforcing the importance of psychological safety. A critical realist approach illuminated the ‘bigger picture’, revealing insights and underlying mechanisms that allow this study to present a new framework for conceptualising training evaluation.

JOHN MEARSHEIMER’S REALISM AND THE UKRAINIAN CRISIS

The paper sheds light on the ongoing debate around the Ukrainian war in American and Western scholarship, the focus is especially on John Mearsheimer’s views on the Western perception and attitudes towards Russia’s military invasion of Ukraine. An in-depth critical analysis of Mearsheimer’s essay titled “Why the Ukraine Crisis Is the West’s Fault” published in the aftermath of the Russian annexation of Crimea in 2014 and his other works have shown that putting the blame on Putin and demonization of Russia for the Ukrainian crisis is a dominant and prevailing discourse in the West. In this ongoing debate, John Mearsheimer seeks to change such narratives viewing them as one-sided and biased, forcefully and persuasive ly arguing that the Western nations led by the United States are to blame for this international crisis that has led to military conflict in Ukraine. The prime cause of the Ukrainian conflict according to Mearsheimer, lies in the eastward expansion of NATO since the 1990s, which is seen by Russia as a grave threat to its national security. Another reason of why there is a bitter tension between the West and Russia is that the American and European leaders’ beliefs of international politics are shaped and guided by a flawed view in which they tend to trivialize realis m, contemporaneously subscribing to liberalism, a school in international relations theory that dominates the discourse about the Transatlantic security. Although Mearsheimer’s realist stance and views about the Ukrainian war and European security do not constitute mainstream discours e in the West, they contribute to a proper understanding of this international crisis from the perspectives of realism.

Phenomenology, Perspectivalism and (Quantum) Physics

It has been claimed that Massimi’s recent perspectival approach to science sits in tension with a realist stance. I shall argue that this tension can be defused in the quantum context by recasting Massimi’s perspectivalism within a phenomenological framework. I shall begin by indicating how the different but complementary forms of the former are manifested in the distinction between certain so-called ‘-epistemic’ and ‘-ontic’ understandings of quantum mechanics, namely QBism and Relational Quantum Mechanics, respectively. A brief consideration of Dieks’ perspectivism will then lead to a consideration of the much-maligned and typically dismissed role of the observer in the measurement process. This opens the door to London and Bauer’s presentation of a form of ‘phenomenological quantum perspectivalism’ that brings together Massimi’s two forms and explicitly eschews the ‘naïve’ realism that creates the above tension. I shall conclude with some reflections on how intersubjectivity can still be established within this framework, focusing in particular on how Massimi’s idea of ‘interlacing’ scientific perspectives can be accommodated, using the example of a ‘new cosmopolitanism’ that gave rise to Bose-Einstein statistics.

The Impact of Realism on U.S. Foreign Policy during the Trump Presidency

Purpose: This article explored the impact of realism on American foreign policy during the Trump administration, striving to answer whether Trump adopted a realist stance or employed a unique blend of realism to enhance American interests on the global stage. Methodology: Centering on theoretical analysis and historical context, this study investigated the alignment of Trump's controversial personality and his "America First" slogan with the quest for national interests and power dynamics. This paper spotlighted Trump's unorthodox implementation of realism by exploring specific global issues, such as security strategies, trade policies, and diplomatic methods. Findings: This paper underscored Trump's deviation from traditional realism and adopting an unconventional realist approach. Particular emphasis was placed on this approach's implications for global power dynamics and the ethical dimensions of U.S. foreign policy. This study pinpointed noteworthy results from Trump's unique fusion of realism, providing insights into its effects on international relations. Unique Contribution to Theory, Practice and Policy: This research contributed to theoretical comprehension and practical implications for future American foreign policy. It illuminated the Trump administration's unorthodox implementation of realism and its ramifications for international cooperation. Moreover, this paper advocated for a balanced approach incorporating strategic pragmatism with ethical leadership to efficiently tackle intricate global challenges and uphold the United States' role in the international arena.

Defending a Realist Stance

ABSTRACT Should the scientific realist admit that their realism involves what Chakravartty has called an epistemic stance? I argue that the realist should accept the need for a realist stance that licenses the use of inference to the best explanation. However, unlike Chakravartty, I maintain that the realist should insist that their realist stance is rationally obligatory. This requires an anti-voluntarism about stances that involves theoretical reasons for adopting one stance rather than another. I present one account of what these reasons might be that is tied to principles that identify some strong connections between evidence, knowledge and genuine explanation.

Semiconductor and ICT Industrial Policy in the US and EU: Geopolitical Threat Responses

<p>This article analyses chips and critical ICT infrastructure policy in the US and the EU. It examines the increasing importance of Waltian geopolitical security threats on both sides of the Atlantic as a driver of industrial policy, export controls, self-sufficiency, and friendshoring as a replacement for dependence on global supply chains. It shows that threat perceptions are strong and bipartisan in the US, allowing comprehensive, strategic and well-funded industrial policy. Threat perceptions driving chip and 5G industrial policy are also present in the EU’s Economic Security Strategy and related policies. However, differing national preferences dilute a Waltian turn with continued attachment to liberal (global supply chain) approaches to chips and 5G infrastructure and a Waltzian realist stance (capacity-building to build, protect, and promote regardless of security threat) that occupies the middle ground.</p>

A SOCIAL CONSTRUCTIVIST CRITIQUE TO POWER-TRANSITION THEORY AS A PREDICTOR OF WAR

The concept of power is inadvertently one of the most central topics in the field of politics. The concept has been intriguing for mankind as long as the human memory goes. Especially the realist school of thought has a primary focus on the power-narrative. One of the earliest studies undertaken was that of A.F.K. Organski who wrote World Politics in 1958 that constructed indicators what state power may or may not constitute. Organski’s work being explanatory has prompted a scientific prediction of war based on these indicators. Power Transition Theory provides relevance from a practical realist stance in today’s turbulent international order elaborating on Nation, International Relations and International Organizations. Constructivism criticizes the predictive abilities and the absoluteness as quick turn of events can make mockery of the tidiest of theories. However, this paper seeks to establish an alternative criticism to the Power Transition Theory as discussed in a vast body of literature on how wars are predicted during a transition of power on basis of Index of National Capability (INC).

Border closure and border governance dialectics in Nigeria

ABSTRACT Nigeria has 86 legal access points and over 1400 illicit ones, indicating some of the world's most porous borders. Numerous transnational crimes flourish along Nigeria's borders with other neighbouring countries due to the border's porosity. The government of Nigeria resolved in August 2019 to restrict its roughly 4,500-kilometre land borders with the republics of Niger, Cameroun, Chad, and Benin to reduce cross-border crimes. The government reopened the borders precisely three years later, in August 2022, acknowledging that, despite the benefits of the strategy, Nigeria's borders inherently porous. We investigate Nigeria’s border closure and the debate it has produced in border governance using dominant qualitative method comprising secondary and primary data sources. We contend that the reason Nigeria's border closure strategy has failed is not that the borders are porous but rather that border communities view the borders as merely physical boundaries that do not obstruct cross-border exchanges because these communities cherish their transnational social, cultural, ethnic, and linguistic connections. We recommend the government of Nigeria embrace a liberal rather than a realist stance on borders to address long-time challenges with border security governance between Nigeria and its neighbours.

The rising tide of criticality in social entrepreneurship and social innovation

In this article, we trace a rising tide of criticality to highlight three waves in a sea of social entrepreneurship/social innovation (SE/SI) research. Our aim is to draw attention to counter, alternative and critical perspectives in the field and how ‘dangerous’ their co-option by right wing narratives is. We review what we believe to be three waves in the development of a critical research agenda undertaken by a cohort of academics who, in their loyalty to the field, have sought to unpick the underlying assumptions in the practice of, and academic reflection on, social innovation. We set out the early instrumentalist critique, in which the success and social utility of SE/SI is questioned. We secondly highlight a post-structuralist shift, in which hidden and unheard voices and perspectives are welcomed and celebrated. The third wave, for us, constitutes a dangerous threat to the SE/SI project, threatening to undermine and co-opt the first two waves, as has happened in other related fields of intellectual endeavour. We position this paper to not only engage with scholars who challenge the normative assumptions behind social innovation research, but also to draw attention to the entry of right-wing politics in post-modernist critical theory. It is not that everything in this third wave is bad, but that everything becomes unexpectedly dangerous, especially if we uncritically adopt reflexivity, naturalization and performativity as politically and morally neutral positions. Contra to Foucault, in adopting a critical realist stance, we begin to propose that ‘the social’, posed as an inherently ‘good’ thing, is an ontological reality that is knowable, albeit given that our knowledge of what is ‘good’ is nonetheless limited and partial. In the first Skoll World Forum (2004) some activists put up posters in the toilets of Said Business School warning delegates, ‘beware social entrepreneurship: a wolf in sheep’s clothes!’ (Nicholls & Young, 2008, p. 272). We conclude our paper warning that SE/SI is not the only wolf to be concerned about!

‘It’s tough. It is hard’: A qualitative interview study of staff and volunteers caring for hospice in-patients with delirium

Background: Delirium is a distressing condition often experienced by hospice in-patients. Increased understanding of current multidisciplinary care of delirium is needed to develop interventions in this setting. Aim(s): To explore hospice staff and volunteers’ practice, its influences and what may need to change to improve hospice delirium care. Design: Qualitative interview study using behaviour change theory from a critical realist stance. Setting/participants: Thirty-seven staff, including different professional groups and roles, and volunteers were purposively sampled from two in-patient hospices. Results: We found that participants’ practice focus was on managing hyperactive symptoms of delirium, through medication use and non-pharmacological strategies. Delirium prevention, early recognition and hypoactive delirium received less attention. Our theoretically-informed analysis identified this focus was influenced by staff and volunteers’ emotional responses to the distress associated with hyperactive symptoms of delirium as well as understanding of delirium prevention, recognition and care, which varied between staff groups. Non-pharmacological delirium management was supported by adequate staffing levels, supportive team working and a culture of person-centred and family-centred care, although behaviours that disrupted the calm hospice environment challenged this. Conclusions: Our findings can inform hospice-tailored behaviour change interventions that develop a shared team understanding and engage staff’s emotional responses to improve delirium care. Reflective learning opportunities are needed that increase understanding of the potential to reduce patient distress through prevention and early recognition of delirium, as well as person-centred management. Organisational support for adequate, flexible staffing levels and supportive team working is required to support person-centred delirium care.

Innovations and Challenges in Identity Research

In his oft-cited monograph Second language identities (2007), David Block made his thorough foray into examining issues surrounding second language acquisition and identities from a poststructuralist lens. Since then, his work has been essential reading for second language researchers and practitioners interested in how identity plays out in social contexts. In 2022, Block’s new book Innovation and Challenges in Identity Research comes out as a timely response to the intricate ways in which identity should be made sense of and researched in times of social change. Compared to his previous related monographs (see Block 2003, 2007), this well-written volume features Block’s new thinking shaped by Marxist political economy, which leads to the critical realist stance he has taken to capture and evaluate innovations and challenges in identity studies. Reading through this book, I was particularly drawn to Block’s disciplinary transcendent approach to delivering a historically situated and thoroughly compelling framing of identity, which constitutes one of the primary strengths of the book. I also learned that identity is not simply a matter of individual agency but largely rests upon the social structure which envelops and shapes our ways of being in the complex and uncertain world.

Ordinary Referring Names in Fictional Contexts

Ordinary proper names can be taken to be referring expressions in non-fictional contexts. But what happens when such names occur in literary works? Within the realist stance, there are two approaches to the issue. Some say that ordinary proper names retain their real world referents in literary fiction. Others argue for the view that ordinary proper names are related there to surrogate referents. It can be pointed out, however, that both approaches create a conceptual tension within the realist doctrine. Fiction-internal contexts are incompatible with any reference-based interpretation of names. The proposal of this paper is, therefore, a shift in perspective: instead of sticking to the notion of reference, the behaviour of ordinary names should be described in terms of representation.

Taking models seriously and being a linguistic realist

Carnap’s conception of linguistic frameworks is widespread; however, it is not entirely clear nor consensual to pinpoint what is the influence in his stance within the traditional realist/anti-realist debate. In this paper, we place Carnap as a proponent of a scientific realist stance, by presenting what he called “linguistic realism”. Some possible criticisms are considered, and a case study is offered with wave function realism, a popular position in the philosophy of quantum mechanics.

Subjective experience and meaning of delusions in psychosis: a systematic review and qualitative evidence synthesis

Delusions are a common transdiagnostic feature of psychotic disorders, and their treatment remains suboptimal. Despite the pressing need to better understand the nature, meaning, and course of these symptoms, research into the lived experience of delusional phenomena in psychosis is scarce. Thus, we aimed to explore the lived experience and subjective apprehension of delusions in help-seeking individuals with psychosis, regardless of diagnosis and thematic content of the delusion. In our systematic review and qualitative evidence synthesis, we searched MEDLINE, Embase, PsycINFO, CINAHL, and Web of Science for qualitative studies published in English from database inception, with the last search on Sept 9, 2021. Grey literature search and hand-searching of relevant journals were also done. Studies were eligible if they provided an analysis of lived experience of delusions or predelusional phenomena presented from the perspective of individuals (age 14-65 years) who had developed a clinical high-risk stage of psychosis, or a diagnosable affective or non-affective psychotic disorder (as clinically defined, self-reported, or assessed within the primary study). Studies with only a subset of relevant participants were eligible only if data for the population of interest were reported separately. Studies that did not discriminate between the experience of delusion and other positive symptoms (eg, hallucinations) were included only if data for delusions were reported separately or could be extracted. First-person accounts (and author interpretations) discussing changes in the sense of self, lived world, and meaning in relation to delusions were extracted and synthesised using a novel thematic synthesis approach informed by a critical realist stance and a phenomenological theoretical framework. Analytic themes were developed into a new overarching framework for understanding the emergence of delusional phenomena. The study was registered with PROSPERO, CRD42020222104. Of the 3265 records screened, 2115 were identified after duplicate removal. Of these, 1982 were excluded after title and abstract screening and 106 after full-text eligibility assessment. Of the 27 studies entering quality assessment, 24 eligible studies were included in the qualitative evidence synthesis, representing the perspectives of 373 help-seeking individuals with lived experience of delusions in the context of psychosis. Gender was reported as male (n=210), female (n=110), transgender (n=1), or not reported (n=52). Only 13 studies reported ethnicity, with White being predominant. The age of most participants ranged from 15 to 65 years. We found no eligible studies investigating subclinical or predelusional experiences in at-risk mental state populations through qualitative methods. Most studies were undertaken in western, educated, industrialised, rich, and democratic (WEIRD) societies, and most included participants had received or self-reported a diagnosis within the schizophrenia spectrum. Studies differed in relation to whether they focused on one kind or theme of delusion or delusional phenomena more generally as a unified category. Three superordinate themes relating to experiential changes and meanings in delusion were identified: (1) a radical rearrangement of the lived world dominated by intense emotions; (2) doubting, losing, and finding oneself again within delusional realities; and (3) searching for meaning, belonging, and coherence beyond mere dysfunction. Based on the review findings and thematic synthesis, we propose the Emergence Model of Delusion to advance understanding of delusional phenomena in psychosis. Delusions are best understood as strongly individualised and inherently complex phenomena emerging from a dynamic interplay between interdependent subpersonal, personal, interpersonal, and sociocultural processes. Integrative approaches to research on delusion, which consider their potential adaptiveness and favour explanatory pluralism, might be advantageous. Effective clinical care for individuals with psychosis might need adapting to match more closely, and take account of, the subjective experience and meaning of delusions as they are lived through, which might also help redress power imbalances and enduring epistemic injustices in mental health. Priestley Scholars, Wellcome Trust.

Formulation of Definitions of Consciousness on the Methodological Basis of Realism

In this paper, the traditional question – what is mind? – is suggested to be treated from the metareflective realist stance from which different determinations of consciousness could be apprehended as always instantiated and dependent on their definitions. Methodological differentiation between what is representational and what is non-representational is expressed as a divergence between particular definitions of consciousness and the ontological X, in this context, acting as a universality of consciousness. The derivation of this position is reached through the investigation of François Laruelle’s non-standard philosophy, Wilfrid Sellars’s critique of the myth of the given and Iain Hamilton Grant’s revisionary study of Schelling’s naturphilosophie.

Response to “Se Habla Español as ‘McOndo 2.0’: Post-Magical Realist Anthologies in Latin America” by Thomas Nulley-Valdés

Response to “Se Habla Español as ‘McOndo 2.0’: Post-Magical Realist Anthologies in Latin America” by Thomas Nulley-Valdés Ceyda Elgül, Respondent Thomas Nulley-Valdés’s article examines the links between two post-magical realist anthologies in Latin America: McOndo (1996) and Se habla español: Voces latinas en USA (2000). Presented as a direct continuation of McOndo, Se habla español complements the anti-magical realist stance of its predecessor, which Nulley-Valdés observes with a focus on their short-story selection, paratexts, and reception. These two volumes, co-edited by Alberto Fuguet, manifest a shared concern with Latin America’s literary production that should pass beyond the previous generation’s magical realist structures, and despite the initial criticisms posed against them, both mark the emergence of a new moment for Latin American writers. I believe one of the highlights of the article is its elaboration on anthology as a genre that fulfills a specific function in the formation and operation of literary repertoires. In the words of Alfonso Reyes, anthologies “marcan hitos de las grandes controversias críticas, sea que las provoquen o que aparezcan como su consecuencia” [End Page 224] (138).1 In the particular context of the volumes by Fuguet and his collaborators, these collections present new forms of cultural hybridization that can be used by Latin American writers in the United States who write in Spanish. The reviews that appeared two decades after the publication of Se habla español recognize the anthology as the start of a new wave of literature known as the New Latino Boom, which seems to suggest that the anthology succeeded in implementing its views amongst the authors of the new generation. Aside from such a formative role, anthologies stand out with their representative value, especially when read from a temporal and/or spatial distance. To once again quote from Reyes, they “permiten mayor unidad en menor volumen, y dejan sentir y abarcar mejor el carácter general de una tradición” (138).2 The representative value that comes along with this compact nature can apply to several cases; for instance, an anthology might present works from a specific culture, epoch, or writing ecole. Although the article focuses on how these two anthologies embrace a post-magical realist form of self-presentation that avoids false exoticisms, its discussion of the anthologies also made me think about potential futures for these volumes in translation. The Latin Americanization of magical realism has much to do with the translation of Gabriel García Márquez and other writers’ works into first European and then non-European languages, and I wonder if the translations of post-magical realist volumes could have similar functions in the implementation of this new stream of Latin American literature in other regions. Perhaps we can even extend the discussion a bit further and ask whether these translations could inspire similar writer groups in other regions that aim to deconstruct the misrepresentations of their own literary traditions within the domain of world literature. An additional issue to be raised might be the possible strategies for translating the bilingual-bicultural texts of the New Latino Boom into other languages. Interlingual translations of hybrid and multilingual works have long been a prolific discussion topic for translation scholars, and I believe the journey of post-magical realism in translation would complement both this particular research frame and the arguments implemented in Nulley-Valdés’s study that uncovers the survival of this Latin American literary context in our day. Notes 1. “become milestones of the great critical controversies, either by provoking them or appearing as a consequence of them.” (All translations are mine.) 2. “permit a greater unity for less volume, and allow one to feel and better take in the general character of a tradition.” Work cited Reyes, Alfonso. “Teoría de la antología.” Obras Completas de Alfonso Reyes, tomo XIV. Fondo de Cultura Económica, 1997, pp. 137–41. Google Scholar Copyright © 2022 Canadian Comparative Literature Association / Association Canadienne de Littérature Comparée

The ‘onto-logics’ of perspectival multi-naturalism: A realist critique

In this article, I argue for a realist anthropology based on the recognition of mind-independent reality; pitching this premise against concerted anti-dualist tendencies in contemporary anthropological thinking. I spell out core analytical entailments of these, in my view, profoundly conflicting premises. In particular, I focus on perspectival multi-naturalism, arguing that despite adherents’ claims to reinvigorate studies of ‘ontology’, this approach instead exaggerates epistemological dimensions. When assessed from a realist stance, its ground position engenders a series of epistemic fallacies by which the ontological is, effectively, subordinated under epistemology. Advocates’ reluctance to appreciate a distinction between mind and mind-independent reality entails a profound contraction of perspective in terms of empirical and methodological scope, and, analytically, a disregard for ontological complexity and depth, thus curtailing the importance of anthropology in wider academic discourse.

Markov blankets as boundary conditions: Sweeping dirt under the rug still cleans the house

Abstract Bruineberg et al. underestimate the ontological weight of Markov blankets as actual boundaries of systems and lean toward an instrumentalist understanding thereof. Yet Markov blankets need not be deemed mere tools. Determining their reality depends on the fundamental problem of distinguishing between system and environment in physics, which, in turn, demands a metaphysical bedrock backed by a realist stance on science.

Recasting the Treadmills of Production and Destruction

We revisit and recast two prominent theories of environmental degradation: the treadmill of production and the treadmill of destruction. This recasting is guided by critical realism, focused on theorizing generative mechanisms that produce and shape empirical events. Our theorization is informed by Marxist and Weberian insights into environmental sociology contributions. In this critical realist recasting, the treadmill of production and the treadmill of destruction are conceived of as generative mechanisms. A treadmill refers to a process in which powerful organizations appropriate nature to amass power and capital. These organizations degrade the environment, and they suppress and distort information about the environmental damage they cause. The macrosocial context, the organizations at the center of them, and the elites that command these organizations make these treadmills distinct. A treadmill spans the biophysical and the social/cultural realms. Whereas the biophysical is necessary for the social/cultural realm to exist, it exists independent of human knowledge of this realm. As such, historical contingency and social change are at the center of analysis when studying the waxing, waning, transformation, and demise of treadmills. Adopting a critical realist stance, future theorization and research can and should engage a wide range of theories advanced in environmental sociology. The goal is not to establish the single best unitary theory, but to identify and gain insight into the generative mechanisms that shape and constrain human interactions with the environment.