Need 08/12/17, 10/01/18

  • Need
    
  • Vulnerability
    

Deficiency, lack of something

  • Functional and Intrinsinc
    

Both carry moral force


Functional and intrinsic statements can be expressed as ‘A needs X’, and may therefore capture this non-instrumental concept of need. Neither assumes that the subject has further ends, but whereas functional need statements are tied up with a particular purpose, intrinsic needs statement reflect ends in themselves. Take, for example, the following functional statement: a person needs accommodation. It could be developed to take an instrumental form- a person needs accommodation in order to have shelter – but this does not add particularly meaningful information because providing shelter is tied up with what it is to function as accommodation.


Intrinsic needs statement, argues Miller, reflect an even more fundamental relationship wherein the need represents an end in itself (1976, pp.127–129). Physical, biological and psychological needs, under this view, reflect something about what it is to be human.

  • Instrumental
    

Instrumental statements take the form ‘A needs X to do Y’, for instance, a person needs a local connection in order to have right to accommodation. The local connection is instrumental in this case because it is not a need it in and of itself, but as a means to an end. If there were a different way of grounding a right to accommodation, then the local connection would no longer be required.

  • Intrinsic
    
  • basic biological requirements
  • plans of life
  • social norms
  • influence of circumstance
  • Using need to guide action
    
  • Distribution in proportion to need
    
  • those in most need get more, those in less need get less


  • Strict priority
    
  • distributing to the worst-off first, in order of severity of need


  • Measuring and minimising injustice
    
  • removing avoidable need

Factors which could ground action based on need:

  • Humanitarian sentiment
    
  • Justice
    

Is it a proxy/expression of other claims?

  • Priority need
    • Role of ‘priority need’ language and legislative category
    o Circular which preceded legislation specifically addressing need in those groups
    o Protects dependent kids (ages specified in law – what is it about these ages that make them needy, from the conceptual POV?), natural disaster victims, and the ‘vulnerable’
    o Scottish removal of priority need: is this a statement on who or what counts as ‘in need’? Also accommodation directly to those whose application was still being assessed. Recognition of immediate need?
    o Welsh stage 3: still resembles the priority need system – but with greater discretion. Undermining need as main distributive principle?
    #
  • Circumstance
    
  • Complex needs may fall into this category?
    o As a subset of single people, defined separately from the vulnerable
    o Content of the definition: physical, mental, social, financial support requirements in addition to housing/homelessness – quite wide. Need therefore defined quite broadly.

o To be discussed more extensively in that section, but suggestion that need and vulnerability are intertwined concepts in some of the policy considerations

Compatibility of each with discretion - more so humanitarian than justice
• Discretion: opportunities for discretion and gatekeeping in the system, deciding who counts as ‘in need’
o Manipulation of priority need re: family mediation to delay homelessness application/assessment until child is over 18?

Minimising injustice
• Prevention strategies: interpreted as prevention of need occurring?
o Housing Options advice and mediation

• SRS need-based protections
o Longer FTTs for families with dependent children and vulnerable people

  • Meeting basic intrinsic need
    
    •Historical response to need
    o Parish outdoor relief
    o Workhouses
    • Normative bias in favour of protecting children because they have greater need in some way
    • Social security benefits: assistance level payments operate as a basic safety net for those in need

Priority need

  • Priority need and desert
    
    o Accommodation of people homeless due to natural disasters – ‘no fault of their own’ perception?
    o Together with the ‘intentional homelessness’ test
    o Single people not qualifying – unless ‘vulnerable’. No positive desert?
  • Prioritisation of marriage and children in social housing
    
  • this one seems harder to justify through desert - but maybe the children (lack of negative desert) thing again.

Families with children
The tendency to prioritise children, giving them the most comprehensive support in homelessness and related systems, is hard to understand in the context of desert. If desert is conceived as a ‘reactive attitude ‘ to individual performance, children are essentially ineligible for desert judgments, because they haven’t been given a meaningful opportunity for performance yet. We dont attribute full agency to them. Then the most obvious way in which desert can be relevant to children here, is that they are desert-neutral i.e. they have not yet had an opportunity to accrue negative desert.

Natural disaster provisions

  • suggestion that people have not ‘failed’ to make provisions for themselves (i.e. no accrual of negative desert), and can therefore qualify as in need. Further indication that need responses are mediated/moderated by considerations of desert

Does the introduction of rights/end of priority need in Scotland represent a move away from a desert-based system?

Widening provision
Extensions of priority need under New Labour: acknowledgment that additional groups had more significant needs that outweighed their negative desert AND/OR had less negative desert due to background/context/structural circumstances

New Labour secured temporary accommodation for all priority need groups, regardless of whether they were intentionally homeless. This represents a move away from judgments about desert (negative) as a basis for distributing housing resources, in favour of other normative considerations.
This included people escaping domestic violence, young people, and care leavers.

BUT eligibility criteria under the 2002 Act did make desert-based exclusions, such as to those with a history of rent arrears and anti-social behaviour. AND behavioural grounds (negative desert) could also be used as a reason to remove peoples’ reasonable preference (need-based priority) on the single housing register.

Removal of ex-offenders from priority need in Wales.
Despite evidence (common knowledge?) of the additional needs of people exiting institutions. POlitical/financial/resource-allocation decision motivated by ideas about desert?

Doyal & Gough
Nussbaum's capabilities
Dean

  • Capabilities (Nussbaum & Sen)
    

Conditions on using need

  • Desert
    
    Miller:
    Distributions based on need can be voided by absence of/negative desert e.g. irresponsibility?
  • intentionality test as an example re: priority need groups #

In policy

Need

Why distribute housing?


Fitzpatrick & Stephens 1999: 420
"to borrow Bernard Williams’ framework, "the relevant reason for distributing housing is the need for shelter" (Gutmann, 1980, p. 99). Everyone seems to accept that a large number of people lack shelter of a minimum acceptable standard.This standard is, in concept, absolute and applies to everyone equally. Because one household falls below that minimum by more than another does not alter the contention that each household has an equal need of shelter of a minimum acceptable standard (MAS). However, the resources required to achieve this standard will vary according to household circumstances, such as the number of people, their age and whether they have a disability."

Assessing need

Longitudinal dimension to housing need


Fitzpatrick & Stephens 1999: 422
"the previous government’ s case against the 1977 framework and local authority practice introduced a longitudinal dimension, that is relative housing deprivation over time. Thus a former (Conservative) Housing Minister said:
...the main flaw in the current legislation ... [is] that those who apply for assistance as homeless gain priority in the queue for local authority tenancies at the expense of others who have comparable underlying housing needs. (HC Deb. 18.7.94, c.21)"

In favour of assessing long-term need


Fitzpatrick & Stephens 1999: 422
"This emphasis on long-term 'needs’ is well founded on two counts. First, the total deprivation suffered relates not only to its extent but also to the length of time for which it is endured. If there are two households each in equal deprivation, but one (A) has been living in deprivation for longer than another (B), society would sanction allocation to (A) above (B). Although (A) and (B) would experience equal utility gains from receiving the tenancy, society chooses (A) out of a general sense of fairness arising from (A)'s past suffering. Housing (A) above (B) thus increases total utility because society gains utility from an intuitively fair allocation decision. (We return to the idea of society’s utility function below.) Some social housing providers already recognise this principle by awarding `time in need’ points to applicants.
Second, if a household has suffered housing deprivation over a considerable period of time this arguably provides a strong indication that they are unable to fend for themselves in the housing market and this is likely to persist in the future. So utilitarianism can also justify housing (A) above (B) because it is more likely"

A 'utility maximising' framework


Fitzpatrick & Stephens 1999: 420
"Utilitarians believe that public policy should aim to maximise the sum of human welfare. As a moral code utilitarianism has a strong intuitive appeal, but it is open to some obvious objections, not least its disregard for the distribution of the sum total of utility and the moral equivalence attached to different sources of utility. But few would question that welfare maximisation should form a significant component of public policy."

The problem of indivisible goods


Fitpatrick & Stephens 1999: 420
"But if we have just one council house to allocate, we have an indivisible good which can be allocated only to one or the other household. In these circumstances, we have to abandon egalitarianism and utilitarianism provides a congenial substitute. Utility is maximised by allocating the council house to (A), the household whose housing falls furthest below the MAS. So, when it is said that housing should be allocated to those in most need, what is really meant is that it should be allocated it to those who are in greatest housing deprivation."

  • MAS: minimum acceptable standard

In UK housing allocation systems


Fitzpatrick & Stephens 1999: 416
"In contrast, needs-based systems focus on housing rather than personal characteristics. Typically, needs are established by allocating a set number of `points’ for attributes of unsatisfactory housing, such as overcrowding and lack of essential amenities. The homelessness legislation was a crucial step in the move away from
allocation systems dominated by desert. The shift towards allocation by need in the 1970s and 1980s improved the position of not only homeless households, but also ethnic minority households who had been subject to indirectly discriminatory measures, such as residence requirements (Henderson & Karn, 1984). Nevertheless, there remained a tendency for vulnerable and homeless house- holds to be allocated poorer quality housing (Power, 1987)."


McNaughton Nicholls’ ‘Housing, Homelessness and Capabilities’ paper takes Martha Nussbaum’s concept of capabilities and applies it to housing and homelessness, as a means of exploring the relationship between the two, and specifying what functions housing ought to support (2010, p. 23).
The capabilities approach originates in the ‘equality of what’ debate in the philosophical literature on social, or distributive, justice. This debate addresses what the ‘content’ or ‘metric’ of justice ought to be i.e. what it is that must be distributed in a just society, and therefore also what can be measured in order to assess a society’s justness. The capabilities approach argues that equality across a set of basic human ‘functions’ ought to be pursued so that, in so far as possible, people share the same potential (McNaughton Nicholls, 2010, p. 27). Drawing also upon Peter King’s (2003) work on the role that housing plays in supporting freedom and functions, McNaughton Nicholls argues that these are compromised by homelessness, as it limits ‘life’, ‘health’ and ‘bodily integrity’, amongst other basic capabilities specified by Nussbaum (2010, pp. 23, 30–32) .
The paper demonstrates the way in which philosophical concepts can be adopted within the field of housing and homelessness to bring a new perspective to that work. For example, the capabilities approach suggests a novel set of criteria by which to assess the suitability of accommodation; whether it supports people to fulfil their basic functions (McNaughton Nicholls, 2010, p. 38). It also provides a normative support to arguments which aim to end homelessness, and indicates particular policy strategies for doing so e.g. by indicating that provision of self-contained flats through a Housing First scheme might support basic capabilities more effectively than shared institutional accommodation (McNaughton Nicholls, 2010, p. 37).

From Beth's 2013 thesis
p23 onwards

Dean has argued that need “represents a pivotally important concept and, arguably, the single most important organising principle in social policy” (Dean, 2010, p2). Indeed, welfare states have been in part defined as “the collective recognition by society of certain human needs, and the organisation of mechanisms to meet those needs” (Doyal and Gough, 1984, p7). Reflecting on the value of the concept of ‘need’ in social science research however, Bradshaw comments that it “has always been too imprecise, too complex, too contentious to be a useful target for policy” (1994, p45). Despite its imprecision and enduring debates about its meaning, need remains a central concept in social policy generally, and in debates around housing and homelessness policy. This section reviews some of the key conceptual debates around the concept of need, before proposing a framework for understanding and applying the concept in this study.


Various typologies, taxonomies and theories of need have been developed (for example Bradshaw, 1972/1994; Doyal and Gough, 1984/1991; Kenna, 2011). Nussbaum (2003) and Sen’s (1980) development of a ‘capabilities approach’ and Rawls’ account of ‘primary goods’ (1971/1999) - while departing from the explicit language of ‘needs’ - are also key contributions to this debate. Dean (2010) seeks to bring these perspectives together into “comprehensible meta-classification of needs concepts” (p2). He makes two key distinctions, between inherent and interpreted, and thin and thick conceptions of need.

Inherent vs interpreted


A conception of needs as interpreted would look to observation and the claims people make to identify needs. Kenna (2011) similarly discusses ‘relativist’ conceptions of need, according to which norms or minimum standards are established or ‘socially constructed’, against which needs can be measured. Bradshaw’s distinction between normative need (defined by experts, professionals and policy-makers); felt need (wants, desire or subjective views of need); expressed need (demand or felt need turned into action); and relative need (unfair and unequal distribution) (1972, 1994, see also Clayton, 1983) is identified by Dean (2010) as an interpreted view of need. More recently, Bradshaw, et al. have established a ‘minimum income standard’ (Bradshaw et al., 2008) by “involving members of the public in reaching agreement (consensus) about what people need as a minimum and drawing up budgets to meet those needs” (p2). In the field of housing, Fitzpatrick and Stephens (2007) propose that “when it is claimed that housing should be allocated to those in most need, what is really meant is that it should be allocated to those who are in greatest housing deprivation” (p420) where housing deprivation is understood as the difference between a minimum acceptable standards of housing and that person or household’s actual housing conditions. Such approaches highlight the social interpretation, negotiation and ‘embeddedness’ of need.
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Inherent conceptions of need on the other hand draw on some theory or doctrine of what
it is to be human to identify needs (Dean, 2010, p121). Needs are therefore objective and held universally. Doyal and Gough’s theory of human need (1984, 1991) is an example of such an approach. People have needs for the things they require to avoid harm and suffering: the things that are required to achieve any goal and are preconditions for human action and interaction. Kenna (2011) refers to this as a ‘universalist’ approach to need. These basic needs are identified as physical health and autonomy. Further intermediate needs are also identified, including adequate protective housing, physical security, significant primary relationships and a non-hazardous physical environment, although these may be met in various ways in different social and cultural contexts. In the field of homelessness, McNaughton Nicholls draws on Nussbaum’s work, placing housing as an ‘inherent need’ (McNaughton Nicholls, 2010). Adding a further layer to understandings of need, she illuminates the trade-offs rough sleepers face between finding shelter and meeting their other needs and priorities (for relationships and social networks for example). Her analysis suggests a conceptualisation of housing as: “more than a material unit, but as a part of a broader complex system of interconnected factors that operate to constrain and enable the capability that individuals have to lead a well lived life” (2010, p38).

Thick vs thin


Dean draws a further distinction between thick and thin conceptions of need. Thin needs are those things required for a person to achieve pleasure and avoid pain. This approach rests on a ‘hedonic’ understanding of wellbeing: whether a person’s needs are met relates to whether their preferences have been realised and their subjective wellbeing. This is an individualistic and utilitarian perspective (Dean, 2010, p101-107). A thick conception of need shifts focus from pleasure and preferences, to a deeper notion of ‘eudaimonic’ wellbeing. Dean links such conceptions of need to solidaristic understandings of human nature and a richer account of what human beings need to flourish (Dean, 2010, p107- 116). Nussbaum’s capabilities approach reflects a ‘thick’ conception of human wellbeing (Dean, 2010, p111). She identifies a set of core capabilities that are essential to human functioning13, (2003, p41-42) although she acknowledges that any such account “will always be contested and remade” (p56, see also McNaughton Nicholls, 2010).


Central to ‘thick’ conceptions of need are notions of freedom and autonomy, which are seen as constitutive of functioning and flourishing human subjects. Doyal and Gough for example identify two kinds of autonomy as important: personal autonomy (which is required for human beings to exist with dignity) and critical autonomy (which is required for optimal needs satisfaction). Critical autonomy involves the capacity to “question and to participate in agreeing or changing the rules” (Doyal and Gough, 1991, p67). Such approaches foreground an understanding of human beings as interdependent. Dean comments for example that “we have to situate our understandings of social need in relation to our identities as unique individuals and our interconnectedness as social beings” (Dean, 2010, p97).

In housing policy


Watts, E., 2013. The Impact of Legal Rights to Housing for Homeless People: A Normative Comparison of Scotland and Ireland. University of York. According to Fitzpatrick and Stephens (1999), social housing allocations in Britain have reflected two basic objectives: allocation to people in housing need and allocation to people who deserve it most (see also Smith and Mallinson, 1996). They identify a shift over time towards allocations criteria emphasising need over desert (Fitzpatrick and Stephens, 1999, pp. 415-416). Nevertheless, questions of merit and ‘desert-sensitivity’ loom large in the case of social housing allocations, due to the competitive nature of the resource and the perception that homeless households may in some cases be less deserving than others (Fitzpatrick and Jones, 2005), due (for instance) to drug or alcohol addictions, a history of anti-social behaviour/criminal convictions or a general ‘resistance’ to engaging with services (Phelan, et al., 1997).

Conceptual issues

Whose needs are prioritised


Third and building on this last point, in the context of a study exploring the impact of legal rights-based approaches to homelessness, the question of who’s needs are prioritised comes to the fore. By casting entitlement across a specifically defined group, legal rights necessarily create ‘insiders’, who qualify for the legal entitlements in question, and ‘outsiders’, who do not (Habermas, 1988, p210; Bengtsson, 2001; Thompson and Hoggett, 1996, p37). By directing resources (in this case, social housing) towards ‘insiders’, ‘outsiders’ lose out in the allocation of resources: not all housing needs are met simultaneously. This is particular pertinent in the case of housing: unlike other welfare goods and services (such as income) where supply is more ‘elastic’ (provision can respond more quickly to demand) and the good is ‘continuous’, the supply of housing is inelastic and housing is a ‘discrete’ good (only consumable in units). As such, in the short to medium term, ‘insiders’ and ‘outsiders’ compete for a set quantity of social housing in a ‘zero-sum’ situation (Fitzpatrick and Stephens, 1999; Fitzpatrick and Pawson, 2007). Whilst Bradshaw (1994) proposes that ‘inequality’ offers a superior organising principle than ‘need’ in the context of health services, the nature of housing necessitates the prioritisation of certain groups over others as opposed to an attempt to smooth consumption across groups. Considering the impact of legal rights on housing needs therefore

Forms of housing need


Second, ‘homelessness’ (however defined) is only one form of housing need. Whilst the need for basic shelter is highlighted as fundamental in several theories of need, more ambitious accounts of housing need as demanding accommodation of a reasonable or adequate standard are also reflected in the literature. Homeless households then, will not be the only focus of policies seeking to address housing need. Such policies are likely to focus more broadly on the housing needs of those in inadequate or insecure housing (for example overcrowded accommodation, or accommodation that residents have no right to occupy). A consideration of the multiple dimensions of housing need underpins the ETHOS typology of homelessness and housing exclusion (FEANTSA, 2005), which distinguishes between rooflessness (lack of shelter of any kind/sleeping rough); houselessness (a temporary place to sleep in e.g. a shelter or hostel); insecure housing (threatened with severe exclusion due to insecure tenancies, eviction or domestic violence) and living in inadequate housing (in caravans on illegal campsites, in unfit housing, in extreme overcrowding).
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Multiple understandings of need


Three core points are taken from this overview of conceptual debates. First, ‘need’ can be understood in a variety of ways, with implications for how the role of social policy in meeting housing needs is understood. The comparative qualitative approach pursued here (see chapter four) allows for the question of how need is operationalised in homelessness policy and practice to be explored, rather than rigidly defined at the outset. Nevertheless, in comparing approaches to homelessness, the focus will be on the difference legal rights make to meeting housing needs, specifically the need for emergency shelter or temporary accommodation on the one hand, and settled housing of an adequate quality on the other. This reflects an attempt to hold alternative policy approaches to a common standard, albeit that alternative policy frameworks may seek to respond to ‘thinner’ or ‘thicker’ notions of need. It further reflects the idea that adequate accommodation is a ‘foundational’ or ‘basic’ need (King, 2001; McNaughton Nicholls, 2010). Whilst the support needs of homeless households are acknowledged as a crucial aspect of homelessness policy, they are not the main focus here.

Doyal and Gough


Watts 2007
Doyal and Gough make a parallel, if more fundamental point in their ‘theory of human need’, that one person’s obligation to act in a particular way entails their right to the level of need- satisfaction required to act in that way (Doyal and Gough, 1991: 94).


Watts 2007
Housing might well be regarded as such a necessity: Doyal and Gough describe it as an ‘intermediate need’, which must be satisfied if the basic and universal needs of health and autonomy are to be fulfilled (Doyal and Gough, 1991: 157)


Watts 2013 p45-46
One of this paper’s key aims is to consider the difference legal rights make to meeting the housing needs of single homeless men. Need has been identified as ‘arguably, the single most important organising principle in social policy’ (Dean, 2010, p.2), and indeed, remains a key organising principle in the design and delivery of housing and homelessness policy, employed as a tool for rationing resources and prioritising certain claims over others. Nevertheless, the concept has drawn criticism for being ‘too imprecise, too complex [and] too contentious to be a useful target for policy’ (Bradshaw, 1994, p.45). Conceptions of need vary from approaches that seek to understand need through people’s claims or demands for certain things (Bradshaw 1974 and 1994), to those that draw on some theory or doctrine of what it is to be human in order to identify needs (Doyal and Gough, 1991). Conceptions also vary regarding whether need satisfaction is understood as fulfilling subjective preferences (‘thin’ conceptions of need) or attaining a more ambitious ‘eudaemonic’ notion of wellbeing (‘thick’ conceptions of need) (Dean, 2010).


In the case of homelessness, meeting housing need might be conceptualised (in minimalist terms) as ensuring that people have access to shelter to survive (to avoid pain). Alternatively, and more commonly in the literature, meeting housing need is seen (in line with ‘thicker’ conceptions) to involve ensuring access to housing of a standard that ensures its function as ‘a base for emotional development, social participation, personal status and ontological security’ (Kenna, 2011, p.192; Doyal and Gough, 1991; King, 2003; McNaughton-Nicholls, 2010).


Watts & Fitzpatrick, 2018, Ch 6
Some have argued that these rights should be understood as ‘socially constructed’ (Dean, 2004) rather than ‘natural’ in origin, rooted in a universal shared norms about what people should have access to in order to achieve a basic standard of living (for example, Nussbaum, 2000) or to have their basic ‘needs’ met (Doyal and Gough, 1991; Norman 1998).


Miller’s solution is to exploit the fact that people draw on different principles from their ‘moral repertoire’ in considering the ethicality of distributions of particular goods in distinct circumstances. Thus, according to Miller, social justice requires, first, that each person’s needs be met according to a common standard recognised across the relevant society. This is not simply a matter of ensuring that everyone reaches as a socially-defined minimum, but rather that: “need-meeting resources must be distributed according to need, in other words, there should be no preventable inequalities in the extent to which different people’s needs are met” (Miller, 1999, p.258). Following Amartya Sen (1992), he argues that such need-meeting resources are best defined as a set of ‘functionings’ that “together make up a minimally decent life for people in the society in question” (p.247, for an alternative conception of basic needs, see Doyal and Gough, 1991). Miller’s model echoes in broad terms, though is somewhat more strongly egalitarian in orientation, than the ‘consensual’ approach to the definition of poverty and deprivation that is now dominant in social science in the UK (Bramley and Bailey, 2018).

Frailty?


Fitzpatrick, Bengtsson Watts 2013
Turner (1993) has argued that, in the absence of a metaphysical natural law, the philosophical foundations of human rights can most effectively be defended via an appeal to the universal nature of human “frailty”, particularly the frailty of the body. Such a position may quite readily be seen as encompassing a right to at least a basic level of shelter consistent with human physiological requirements. In a rather more ambitious vein, Norman (1998) argues that a derivative concept of rights can be based on the satisfaction of basic and universal human “needs”, as there are rational and objective ways of determining what these needs are (see also Doyal and Gough 1991). Housing of a minimally “acceptable” standard may be viewed as intrinsic to a conceptualization of human rights derived from this perspective.

Tony Fitzpatrick, 2008, Virtue
The human species may be more diverse but Foot believes that we have enough in common for similar inferences to be drawn, since without basic mental and physical health we are deprived of the capacity to flourish (cf. Doyal and Gough, 1991).

Dean 2000: 55
Our social rights by definition reflect our needs.
Doyal and Gough (1991) have argued that, logically, human beings have a right to have their basic needs for health and autonomy met if they themselves are to have the capacity to fulfill such moral obligations as society demands of them. However, it is when our ‘needs’ are formulated as ‘claims’ that they become tangible (see Spicker, 1993) and the point about social rights is that they incorporate not some a priori universal definition of human need, but a substantive policy objective (for example, Hirst, 1980)


Dean 2014
Discussions of human need are widely framed in terms of whether it is absolute or culturally relative (e.g. Doyal & Gough, 1991).

Emmel 2017: 461
Difficulties in accessing basic needs and material deprivation can significantly curtail the range of possible ways of being (Doyal and Gough, 1991), where the notion of being does not capture mere existence of basic needs but the relations needed to acquire those needs.


Emmel 2017: 464
Now labelled meeting basic needs (Doyal and Gough, 1991), this dimension extends explanation to recognise a broader consideration of services, goods and wants. These include intermediate basic needs such as childhood security and safety. The relatively affluent grandparent, Mark, who attempts to secure the safety of his grandchildren is an example of this. Minimal needs continue to be recognised in this dimension, Geoff and Margaret’s struggle with deprivation emphasise this. These basic needs are universal and knowable. They are also, as this article has emphasised, dynamic and evaluated by people (Rawls, 1973;Sayer, 2011). As Doyal and Gough (1991) emphasise a basic needs approach requires explanation of the capacity for action through agency

Dean


Dean 2013: S33
Discussions of need tend to be framed in terms of whether human needs are absolute or culturally rela- tive (Doyal & Gough, 1991). Disagreement about the relativity of human need has at times obscured a deeper understanding of the underlying issues. I would contend that the issue of relativity may be distilled into the two dimensions to which I alluded previ- ously: sociality and negotiation.
The point about human needs is that they are at one and the same time both ‘social’and ‘individual’. As Titmuss (1955, p. 62) observed, ‘no complete distinction between the two is conceptually possible’.


human beings are defined by their sociality, that is, they are ineluctably social, not merely individual beings, albeit the context in which they conduct themselves may be more or less defined by individual or personal, as opposed to social or collective, imperatives.We can understand this as a dis- tinction between ‘thin’ and ‘thick’ concep- tions of needs (Soper, 1993).


S34
Thin needs may be thought of in a minimal
sense as survival needs. But insofar as human beings seek more than bare survival, the classic hedonic concept of human wellbeing regards the human condition as a struggle for the pursuit of pleasure and the avoidance of pain. This is still a thin understanding of human need in that its focus is narrowly on the pleasures and pains of the individual subject.


Thick needs may be thought of in an
optimal sense as that which we require not merely to survive or even to be happy, but in order to flourish as fully fledged human beings. Insofar as there is or was a founda- tional notion of human flourishing, it may be found in the classic eudaimonic concept of humanwellbeing associated with Aristotle (c. 350BC) who contended that leading a good life entails more than pleasure seeking; it requires ‘virtue’ (Macintyre,


This is a thick understanding of human need in that it embraces the social context that defines and sustains our human being.

  • Dependency
    

Turner 1993
Outline of a theory of human rights


(Frailty)

click to edit

489: It is argued that sociology can ground the analysis of human rights in a concept of human frailty, especially the vulnerability of the body, in the idea of precariousness of social institutions, and in a theory of moral sympathy.

  • 'ontological frailty'

Embodied frailty is a human universal condition, which is compounded by the risky and precarious nature of social institutions. Human vulnerability can be contained or ameliorated by the institution of rights which protect human beings from this ontological uncertainty.
From a sociological perspective, rights are social claims for institutionalised protection.

500: The specific aim of this conclusion is to claim that universality of the concept of rights can be defended through a sociology of the body. If it is possible to identify such a foundation, then this sociology of the body could function discursively as a substitute for the ancient notion of natural law...
To be precise, the argument is that, from sociological presuppositions about the frailty of the body and the precarious or risky character of social institutions, it is possible to offer a sociologically plausible account of human rights as a supplement to citizenship or as an institution which goes beyond citizenship because human rights are not necessarily tied to the nation-state.

501: I want to argue that the central aspect of the legacy of Gehlen resides in two related ideas. First, human beings are ontologically frail, and secondly that social arrangements, or social institutions, are precarious. These two notions can be given a specific operational content as follows. Human beings are frail, because their lives are finite, because they typically exist under conditions of scarcity, disease and danger, and because they are constrained by physical processes of ageing and decay...
...In any case, human life is still finite, and the mass of the world's population lives under conditions of scarcity. The institutions which are meant to protect human beings from their own frailty now appear as part of the problem, not the solution.
There is therefore a dynamic and dialectical relationship between our ontological frailty and our precariousness. The institutions which are (502) designed to protect human beings - the states, the law, and the church in particular - are often precisely the institutions which threaten human life by the fact that they enjoy a monopoly of power.

502: We can perhaps at this point begin to define social preacriousness. The basic idea here is that social institutions are in the long run often inadequate to human purposes.


503: ...In short, social systems are subject to the contradictory problems of resolving the requirements of normative integration and allocation of resources under conditions of scarcity. Because thee is no stable optimal solution to these contradictory requirements, social life is precarious. Human beings as social agents are always exposed to contingencies, uncertainties and risks, and the measures which are taken to regulate these risks create further dilemmas of power.


504: Social life is characterised by its risk, by the instability of social relations, and hence by the precarious nature of trust.

Discussion


504:Making our health less fragile could mean making our social environment more precarious.


506: Human beings will want their rights to be recognised because they see in the plight of others their own (possible) misery.

Conclusion


508: ...it is claimed that sociology needs to develop a theory of rights as a supplement to a theory of citizenship

Prioritarianism

Parfit 1997


213: On what I shall call The Priority View: Benefiting people matters more the worse off these people are. For Utilitarians, the moral importance of each benefit depends only on how great this benefit would be. For Prioritarians, it also depends on how well off the person is to whom this benefit comes. We should not give equal weight to equal benefits, whoever receives them. Benefits to the worse off should be given more weight.17 This priority is not, however, absolute. On this view, benefits to the worse off could be morally outweighed by sufficiently great benefits to the better off. If we ask what would be sufficient, there may not always be a precise answer. But there would be many cases in which the answer would be clear.18 On the Priority View, I have said, it is more important to bene- fit those who are worse off. But this claim does not, by itself, amount to a different view, since it would be made by all Egalitarians. If we believe that we should aim for equality, we shall think it more important to benefit those who are worse off, since such benefits reduce inequality. If this is why we give such bene- fits priority, we do not hold the Priority View. On this view, as I (214) define it here, we do not believe in equality. We do not think it in itself bad, or unjust, that some people are worse off than others. That is what makes this a distinctive view.
The Priority View can be easily misunderstood. On this view, if I am worse off than you, benefits to me matter more. Is this because I am worse off than you? In one sense, yes. But this has nothing to do with my relation to you.
...on the Priority View, benefits to the worse off matter more, but that is only because these people are at a lower absolute level. It is irrelevant that these people are worse off than others. Benefits to them would matter just as much even if there were no others who were better off.


216: Distribution according to need is better regarded as a form of the Priority View

Hooker 2016


11: What we had thought of as pressure in favor of equality of welfare was instead pressure in favor of levelling up. We might say that additions to welfare matter more the worse off the person is whose welfare is affected. This view has come to be called prioritarianism (Parfit 1997; Arneson 1999b). It has tremendous intuitive appeal.


...there is a scale from the worst off, to the not quite so badly off, and so on up to the best off. Prioritarianism is committed to variable levels of importance of the welfare of people at different places on this scale: the worse off a person is, the greater the importance attached to that person’s level of welfare.

Arneson 2000


95:I endorse amending Mill's utilitarianism by incorporating a preference for equality directly into the funda- mental principle. This yields what nowadays is called prioritarianism: this is the claim that institutions and policies should be set and actions chosen so as to maximize moral value, with the moral value of a gain in well- being for a person being greater, the greater its size and the lower the person's prior lifetime expectation of well-being.13 Prioritarianism is some- times referred to under the heading "weighted well-being." The priori- tarian aims to maximize not well-being in the aggregate, but well-being weighted by giving priority to the worse off.
Contrasting prioritarianism with utilitarianism clarifies the former idea. For the utilitarian, the right policy is the one that maximizes the sum of utility (human well-being). For the prioritarian, the right policy is the one that maximizes the sum of moral value. Moral value accrues from utility (human well-being) gains obtained for persons, but the moral value of each gain is adjusted depending on its size (other things being equal, more utility is better than less) and also depending on the prior utility level of the recipient (other things being equal, utility to a badly off person is better than a similar gain obtained for an already well off (96) person). The extent to which prioritarianism in practice would yield rec- ommendations for policy that are different from those that utilitarianism would recommend depends on the specific degree of priority to the worse off that is assigned. Prioritarianism encompasses a family of principles that give more or less priority to the worse off.

Crisp 2003


752: the priority view is essentially a nonlexical weighting principle
The Weighted Priority View: benefiting people matters more the worse off those people are, the more of those people there are, and the greater the benefits in question


BUT 745: the weighted priority view, though it may avoid
requiring us to give the smallest benefits to the smallest number of the worst off at the largest costs to the largest number of those only slightly better off, does require us to give tiny benefits to those who are very well off at huge costs to the worst off.


754: one possible solution here would be to decrease the weight attached to numbers of individuals...
The Number-Weighted Priority View: benefiting people matters more the worse off those people are, the more of those people there are, and the larger the benefits in question. But the number of beneficiaries matters less the better off they are.

Wolff 2015


42: Such critics have suggested that our real concern as egalitarians is either that each person has enough – the ‘sufficiency’ view (Frankfurt, 1987), of which the ‘unconditional basic income’ view is an important variant (Van Parijs, 1992, 1995), or that we give priority to the worst off – the ‘priority’ view (Parfit, 1998)


On the face of it, the sufficiency view would appear to support a concern with absolute poverty. The idea, defended in the recent literature by Harry Frankfurt, but also with affinities to Martha Nussbaum’s view explained previously, is that justice requires that everyone has enough, rather than that everyone has the same amount. Hence there is a sufficiency line, just as there is a poverty line, and there is no difficulty in principle in the idea that all can cross that line, even in a society of great inequality, if there is general affluence. However, there are two caveats. First, defenders of the sufficiency view make clear that they believe the sufficiency threshold is far above any poverty line. Second, a sufficiency threshold could require a relative element, just as we have seen in the accounts of poverty discussed in earlier sections, which is one reason why the Joseph Rowntree Foundation regularly updates its Minimum Income Standard (Joseph Rowntree Foundation, 2014).


If the sufficiency view appears to support a concern with absolute poverty, the priority view seems closer to some accounts of relative poverty: what matters is not how people do in absolute terms, but rather how they do in comparison to others. On some versions of prioritarianism, it appears we still have a moral imperative to improve the position of the worst off even in highly affluent societies. This appears to be a consequence, for example, of Rawls’s ‘difference principle’ according to which we have a duty to make the worst off as well as possible, apparently without qualification (Rawls, 1971). Deviations from equality are permitted as long as everyone benefits, especially the least advantaged, as they might do, for example, from a growing economy. In other versions of the priority view, the imperative weakens and then disappears the richer the society becomes (Parfit, 1998). However, according to this view too a caveat is necessary. No theorist seems to make the claim that the worst off are necessarily in poverty, and hence in this case our duties go beyond confronting poverty.
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