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Leveraging the value of openness and collaboration in
  Health Education: The value proposition of Open
        Educational Resources in South Africa
Neil Butcher
OER Africa
South Africa

I am working on a project called OER Africa, which is seeking to stimulate use of Open
Educational Resources (OER) in higher education systems and institutions across Africa. As
part of this work, I spend quite a lot of my time making presentations, where I stand up to
advocate to academics the use of OER. This is often a tough job, for two reasons: (1) many
people have not heard of the concept before, so look bemused when I mention it; and (2) as
I explain it (or where people are familiar with it), the first question that people typically ask
is ‘what’s in it for us?’ This is an unforgiving point of departure for any discussion.

So let me start by pointing out that you have no choice about free sharing of educational
content. The wave is building, and really the key question is: how do we ride it rather than
being drowned by it? Many people in education see no correlation between what is
happening in the music, film, and newspaper industries – amongst others – and the future
of content in education. This is myopic. We all know that file-sharing software applications,
such as Bittorrent clients, have led to an explosion in the free transfer of music and video
files, creating an apparent crisis of business models in the music and film industries. But
people may be less aware that running a search on the right Torrent websites will generate,
in a few seconds, an extensive list of key medical textbooks freely (if illegally) available for
download, together with passwords to access password-restricted journals. In case you
think this will not affect student behaviour in any discernible way, you should be aware that
the University of Michigan’s on-campus bookshop in June, 2009 because it could no longer
generate sufficient sales. Likewise an article from Tim Barton of Oxford University Press,
published this year in the Chronicle of Higher Education, relates an example of students
from Columbia University who cited a book published in 1900 rather than the many up-to-
date books on the reading list, primarily because its full text was online. Of this, he opined ‘if
it’s not online, it’s invisible’. Bandwidth constraints may make this kind of downloading
difficult for South African students today (although the numbers already make sense if you
compare price of bandwidth with price of medical textbooks), but the trend towards
cheaper bandwidth is clear and will be used by the students to access materials, whether
this is legal or not.

So, the first point is that people who ask ‘why should I share my educational content?’
should be aware that the real question is ‘how can I stay in control of the process of my
educational content being shared?’ The more useful the content is to students, the more
likely it is to be shared on your behalf, with or without your permission. Those academics
and publishers who seek to fight against this trend are like the Spanish fighting the Apaches
or the music industry fighting music pirates (as described in a book called The Starfish and
the Spider: The Unstoppable Power of Leaderless Organization) – the harder one tries to


                                                1
destroy the leaders of these decentralized enterprises, the more one ends up strengthening
them.

So, what does this have to do with open educational resources – and what are they? At its
core, OER denotes a very simple concept, first legal, but then largely economic, in concept:
it describes educational resources that are freely available for use by educators and
learners, without an accompanying need to pay royalties or licence fees. A broad spectrum
of frameworks is emerging to govern how OER are licensed for use, some of which simply
allow copying and others that make provision for users to adapt the resources that they use.
The most well known of these are the Creative Commons licences, which provide legal
mechanisms to ensure that people can retain acknowledgement for their work while
allowing it to be shared, seek to restrict commercial activity if they so wish, and aim to
prevent people adapting work if appropriate (although this may be legally difficult to
enforce at the margins).

As an important side note, I should stress that OER is not about e-learning. Many people
have erroneously concluded that – because it is really the digital architecture of the Internet
that has facilitated sharing of content – this means that OER is about sharing content for e-
learning. Of course, there is no logic to this. Printable materials are now generally stored in
a digital format and can be just as easily shared online as any form of multimedia.
Importantly, in African contexts, where access to ICT is so limited, the potential for OER to
improve the quality of education is likely to depend on growth in sharing of printable
materials, as many students will not – at least for the next few years – have reliable, regular
access to computers and the Internet.

Coming back to the licensing frameworks, whilst these are essentially legal, their
implications are largely economic. In my mind, these frameworks pose two primary
economic propositions. The first is that the sale of educational content is an industry in
decline. Consequently, on the teaching and learning side, universities and academics that
succeed economically will do so predominantly by understanding that their real potential
educational value lies in their ability to provide effective support to students (whether that
be in practical sessions, tutorials, individual counselling sessions, or online) and in their
ability to provide intelligent assessment and critical feedback to students on their
performance (ultimately leading to some form of accreditation). The market has not shifted
fully yet, but it will. The efforts of universities like the Massachusetts Institute of Technology
and the Open University, UK, to release their content as OER reflects an understanding of
this shift, as well as an effort to lead it and benefit from the publicity that such leadership
generates. In such an environment, reputation will grow by making content available as a
way of publicizing competence in providing support, assessment, and accreditation.
Increasingly, people who seek to ring-fence, protect, and hide their educational content and
research will most likely place limits on their academic careers. They will also increasingly be
excluded from opportunities to improve their teaching practice by sharing and collaborating
with growing networks of academics around the world.

The second economic proposition posed by OER is that it is time to abandon the economic
logic that education should be treated as a business, governed by the same rules and
incentives as the commercial and retail sector. This notion of education as a free market has


                                                2
had many negative consequences. For the past few decades, educators and educational
institutions have been rewarded for competing with each other and withholding their
intellectual property from other. This seems antithetical to the notions of building and
sharing knowledge which are central, at least in principle, to the core function of universities
(at least, public ones). Over the past few decades, higher education has increasingly come to
be understood as a business and a cost centre, the objective of which is to drive costs down
– whether it be the cost of running universities or the price of producing graduates. In many
African countries, this has reached a level of crisis, as governments – driven initially by the
structural adjustment programmes of development banks – have now cut costs of higher
education to a level where structural under-funding of universities continues to erode their
ability to function effectively as institutions.

Although the concept of OER itself will do nothing to change these realities, it does offer us
an opportunity to re-consider the economic value proposition of education. It provides a
reason to change institutional and national policies and budgetary frameworks so that they
reward collaboration and open sharing of knowledge, rather than either penalizing it (by
removing possible streams of income when knowledge is shared openly) or ignoring it (as so
many universities do by rewarding research publication over other pursuits such as time
spent in designing educational programmes, participating in collaborative materials
development processes, and making produced materials freely available for others to use).
This is why, at OER Africa, we place so much emphasis on institutional policy engagement,
because, until rewards systems are restructured, there is little prospect for persuading
people change their behaviour. No matter what technologies or methodologies may be
used, the simple reality is that good education cannot be created or sustained without
spending properly on it. And investment in education can only ever be justified in terms of
the long-term social and economic benefits that it will bring societies, not in terms of how
those investments will help to enrol more students at progressively declining unit costs.

Of course, if we understand OER as just another mechanism to cut costs, this time by
providing free content, its potential to contribute to improving education will be lost and it
will be consigned to the long list of faddish jargon and buzzwords that have plagued
education for so many years. Thus, the challenge is to persuade people that making
openness work productively requires investment, time, and energy, but that this is justified
by the significant richness that it can generate. This is because deliberate openness
acknowledges that: investment in designing effective educational environments is critically
important to good education; a key to productive systems is to build on common
intellectual capital, rather than duplicating similar efforts; all things being equal,
collaboration will improve quality; and, as education is a contextualized practice, it is
important to make it easy to adapt materials imported from different settings where this is
required and this should be encouraged rather than restricted.

It is unclear which direction higher education systems in Africa will take – whether OER will
be coopted as another in a long line of ultimately failed cost-cutting exercises or whether it
is harnessed as part of a strategy to invest more wisely and effectively in higher education,
in the belief that producing intellectual leadership through free and open development and
sharing of common intellectual capital is a worthwhile and socially essential activity for a
healthy society.


                                               3
I was heartened, however, to read recently an article called ‘A 20-year Bear Market?’,
circulated by an investment analyst called John Mauldin. This is, of course, a surprising
choice of article to find upbeat given the somewhat negative title. The article summarized
an interview that David Galland of the Casey Report conducted with Neil Howe. Howe is
known for having written books on the impact of generations on cycles of American history.
In brief, he argues that there are four generational cycles. First is a ‘High’ driven by a
heightened sense of community and collective optimism (where societal institutions are
strong, but individualism is weak), usually because society has just emerged from difficult
challenges – in the most recent cycle, the Second World War. This is followed by an
‘Awakening’, where signs of progress and prosperity everywhere are accompanied by more
individualistic pursuits and demands that personal interests come first (the latest of which
commenced in the mid-1960s). Then there is an ‘Unravelling’, where individualism
dominates, and institutions are increasingly weak. As Howe notes,
       This is a time when social authority feels inconsequential, the culture feels exhausted, and
       people feel bewildered by the number of options available to them. It is a time of celebrity
       circuses and a tremendous amount of freedom and creativity in our personal lives, but very
       little sense of public purpose. The most recent Third Turning began in the mid-'80s with
       Morning in America, and continued through the '90s. Previous periods of Unraveling in
       American history were also decades of cynicism and bad manners. Think of the 1920s, the
       1850s, the 1760s. And history teaches us that the Third Turnings inevitably end in Fourth
       Turnings.

Regretfully, the fourth cycle (or Turning) is one of ‘Crisis’ when society's basic institutions
are torn down and rebuilt, and seemingly insurmountable problems are addressed. He
notes that, unfortunately, such periods are often accompanied by large-scale wars, which is
not a happy prospect. However, the reason for my optimism is that he goes on to
characterize a generation emerging called the Millennials. The article notes that,
       Unlike the Baby Boomers, who are largely individualistic and anti-establishment, the
       Millennials are good team players. We hear a lot these days about working together for a
       common cause, volunteerism, and the need for stronger government institutions, largely
       because these are the new priorities of the Millennial Generation...Millennials are builders,
       not destroyers....[they] want to skip the philosophical debate and get straight to fixing
       things... Innovation tends to stagnate, while a few new technologies will be chosen to be
       adopted on a large scale... The authority and obligations of community will strengthen at all
       levels, from local to national and possibly beyond.

Although predictions about the future should always be treated with scepticism, I found this
thesis oddly comforting. I see, in it, the possibility that we might now just accept that
education systems have become undermined by those corrosive values caricatured as the
‘Unravelling’ – to the point that those educators who seek to do good work often find
themselves fighting against all odds just to create the space to be able to do their jobs.
Although I have no idea whether or not Howe’s thesis will prove to be correct, I do believe
that the way in which he characterizes the so-called Millennial generation articulates
precisely the values that we urgently need to restore to our education systems. And, more
importantly, the concept of OER, provides – in my opinion – the perfect vehicle through
which this restoration can commence, driven as it could be by those committed to essential
values for good education – openness, sharing, and a design to build a common social
knowledge base. This return to fundamental principles is essential if we are to unravel the
complex policy frameworks that systems planners and policy-makers in the last 20 years


                                                    4
have created and that have helped to propel education systems worldwide to the point of
crisis in which they now find themselves.

This is because creating and sharing OER is essentially about working together towards a
common cause. In Howe’s terms it is about the ‘authority and obligations of community’.
Sharing materials that others can adapt and use recognizes the value inherent in team work
and the improvements in thinking that will emerge from such collaboration. Doing this
openly, using the already proven innovations of the Internet to facilitate sharing of content,
presents a practical way to use cooperation to find simple solutions to pressing problems we
face. If educators start doing this in large numbers, the values of the systems for which they
work will catch up, as all systems ultimately are just a codification of how people have
agreed to work and interact with each other. Consequently, rewards and incentives will shift
to reflect appreciation for sharing and communal building at the expense of individualism
and unhealthy competition. Conversely, if we wait for systemic policies to change before we
start collaborating, then we have only ourselves to blame if the system’s values are never
shifted.

With this in mind, I have a vision for the Health sector wherein individual academics, and
then increasingly entire departments and faculties, come together in some common online
space (which, like the most successful Internet phenomena, is not ‘owned’ by some
institutional or corporate interest) to start sharing the materials they have produced in an
effort ultimately to ensure all the material that students in African and other universities will
need to complete their studies successfully can be accessed – legally – without any costs of
licensing. There are vast quantities of such material already available in universities across
the world, from which no-one is generating any meaningful commercial return – and many
more being produced every week. These represent a common intellectual capital that
should be unlocked to drive and support education rather than kept hidden away from
sight.

As with all such communal processes, the initial results will be messy – and there will be
many problems to solve, such as how to create appropriate curriculum frameworks for
storing content and mechanisms to help with assessing quality. But online communities
have demonstrated the now indisputable power and value of lots of people working
collaboratively towards a common cause. And doing this in education has the potential to
re-focus education systems, restoring the core values of building and sharing knowledge
that underpin good education, and systematically encouraging us to work with and learn
from each other. And, then, maybe, the crisis that looms – according to Howe – might
rather become a positive force for real social development.




                                               5

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Leveraging the value of openness and collaboration in Health Education: The value proposition of Open Educational Resources in South Africa (2nd National Health Sciences Education Conference in Cape Town, South Africa) July 2009.

  • 1. Leveraging the value of openness and collaboration in Health Education: The value proposition of Open Educational Resources in South Africa Neil Butcher OER Africa South Africa I am working on a project called OER Africa, which is seeking to stimulate use of Open Educational Resources (OER) in higher education systems and institutions across Africa. As part of this work, I spend quite a lot of my time making presentations, where I stand up to advocate to academics the use of OER. This is often a tough job, for two reasons: (1) many people have not heard of the concept before, so look bemused when I mention it; and (2) as I explain it (or where people are familiar with it), the first question that people typically ask is ‘what’s in it for us?’ This is an unforgiving point of departure for any discussion. So let me start by pointing out that you have no choice about free sharing of educational content. The wave is building, and really the key question is: how do we ride it rather than being drowned by it? Many people in education see no correlation between what is happening in the music, film, and newspaper industries – amongst others – and the future of content in education. This is myopic. We all know that file-sharing software applications, such as Bittorrent clients, have led to an explosion in the free transfer of music and video files, creating an apparent crisis of business models in the music and film industries. But people may be less aware that running a search on the right Torrent websites will generate, in a few seconds, an extensive list of key medical textbooks freely (if illegally) available for download, together with passwords to access password-restricted journals. In case you think this will not affect student behaviour in any discernible way, you should be aware that the University of Michigan’s on-campus bookshop in June, 2009 because it could no longer generate sufficient sales. Likewise an article from Tim Barton of Oxford University Press, published this year in the Chronicle of Higher Education, relates an example of students from Columbia University who cited a book published in 1900 rather than the many up-to- date books on the reading list, primarily because its full text was online. Of this, he opined ‘if it’s not online, it’s invisible’. Bandwidth constraints may make this kind of downloading difficult for South African students today (although the numbers already make sense if you compare price of bandwidth with price of medical textbooks), but the trend towards cheaper bandwidth is clear and will be used by the students to access materials, whether this is legal or not. So, the first point is that people who ask ‘why should I share my educational content?’ should be aware that the real question is ‘how can I stay in control of the process of my educational content being shared?’ The more useful the content is to students, the more likely it is to be shared on your behalf, with or without your permission. Those academics and publishers who seek to fight against this trend are like the Spanish fighting the Apaches or the music industry fighting music pirates (as described in a book called The Starfish and the Spider: The Unstoppable Power of Leaderless Organization) – the harder one tries to 1
  • 2. destroy the leaders of these decentralized enterprises, the more one ends up strengthening them. So, what does this have to do with open educational resources – and what are they? At its core, OER denotes a very simple concept, first legal, but then largely economic, in concept: it describes educational resources that are freely available for use by educators and learners, without an accompanying need to pay royalties or licence fees. A broad spectrum of frameworks is emerging to govern how OER are licensed for use, some of which simply allow copying and others that make provision for users to adapt the resources that they use. The most well known of these are the Creative Commons licences, which provide legal mechanisms to ensure that people can retain acknowledgement for their work while allowing it to be shared, seek to restrict commercial activity if they so wish, and aim to prevent people adapting work if appropriate (although this may be legally difficult to enforce at the margins). As an important side note, I should stress that OER is not about e-learning. Many people have erroneously concluded that – because it is really the digital architecture of the Internet that has facilitated sharing of content – this means that OER is about sharing content for e- learning. Of course, there is no logic to this. Printable materials are now generally stored in a digital format and can be just as easily shared online as any form of multimedia. Importantly, in African contexts, where access to ICT is so limited, the potential for OER to improve the quality of education is likely to depend on growth in sharing of printable materials, as many students will not – at least for the next few years – have reliable, regular access to computers and the Internet. Coming back to the licensing frameworks, whilst these are essentially legal, their implications are largely economic. In my mind, these frameworks pose two primary economic propositions. The first is that the sale of educational content is an industry in decline. Consequently, on the teaching and learning side, universities and academics that succeed economically will do so predominantly by understanding that their real potential educational value lies in their ability to provide effective support to students (whether that be in practical sessions, tutorials, individual counselling sessions, or online) and in their ability to provide intelligent assessment and critical feedback to students on their performance (ultimately leading to some form of accreditation). The market has not shifted fully yet, but it will. The efforts of universities like the Massachusetts Institute of Technology and the Open University, UK, to release their content as OER reflects an understanding of this shift, as well as an effort to lead it and benefit from the publicity that such leadership generates. In such an environment, reputation will grow by making content available as a way of publicizing competence in providing support, assessment, and accreditation. Increasingly, people who seek to ring-fence, protect, and hide their educational content and research will most likely place limits on their academic careers. They will also increasingly be excluded from opportunities to improve their teaching practice by sharing and collaborating with growing networks of academics around the world. The second economic proposition posed by OER is that it is time to abandon the economic logic that education should be treated as a business, governed by the same rules and incentives as the commercial and retail sector. This notion of education as a free market has 2
  • 3. had many negative consequences. For the past few decades, educators and educational institutions have been rewarded for competing with each other and withholding their intellectual property from other. This seems antithetical to the notions of building and sharing knowledge which are central, at least in principle, to the core function of universities (at least, public ones). Over the past few decades, higher education has increasingly come to be understood as a business and a cost centre, the objective of which is to drive costs down – whether it be the cost of running universities or the price of producing graduates. In many African countries, this has reached a level of crisis, as governments – driven initially by the structural adjustment programmes of development banks – have now cut costs of higher education to a level where structural under-funding of universities continues to erode their ability to function effectively as institutions. Although the concept of OER itself will do nothing to change these realities, it does offer us an opportunity to re-consider the economic value proposition of education. It provides a reason to change institutional and national policies and budgetary frameworks so that they reward collaboration and open sharing of knowledge, rather than either penalizing it (by removing possible streams of income when knowledge is shared openly) or ignoring it (as so many universities do by rewarding research publication over other pursuits such as time spent in designing educational programmes, participating in collaborative materials development processes, and making produced materials freely available for others to use). This is why, at OER Africa, we place so much emphasis on institutional policy engagement, because, until rewards systems are restructured, there is little prospect for persuading people change their behaviour. No matter what technologies or methodologies may be used, the simple reality is that good education cannot be created or sustained without spending properly on it. And investment in education can only ever be justified in terms of the long-term social and economic benefits that it will bring societies, not in terms of how those investments will help to enrol more students at progressively declining unit costs. Of course, if we understand OER as just another mechanism to cut costs, this time by providing free content, its potential to contribute to improving education will be lost and it will be consigned to the long list of faddish jargon and buzzwords that have plagued education for so many years. Thus, the challenge is to persuade people that making openness work productively requires investment, time, and energy, but that this is justified by the significant richness that it can generate. This is because deliberate openness acknowledges that: investment in designing effective educational environments is critically important to good education; a key to productive systems is to build on common intellectual capital, rather than duplicating similar efforts; all things being equal, collaboration will improve quality; and, as education is a contextualized practice, it is important to make it easy to adapt materials imported from different settings where this is required and this should be encouraged rather than restricted. It is unclear which direction higher education systems in Africa will take – whether OER will be coopted as another in a long line of ultimately failed cost-cutting exercises or whether it is harnessed as part of a strategy to invest more wisely and effectively in higher education, in the belief that producing intellectual leadership through free and open development and sharing of common intellectual capital is a worthwhile and socially essential activity for a healthy society. 3
  • 4. I was heartened, however, to read recently an article called ‘A 20-year Bear Market?’, circulated by an investment analyst called John Mauldin. This is, of course, a surprising choice of article to find upbeat given the somewhat negative title. The article summarized an interview that David Galland of the Casey Report conducted with Neil Howe. Howe is known for having written books on the impact of generations on cycles of American history. In brief, he argues that there are four generational cycles. First is a ‘High’ driven by a heightened sense of community and collective optimism (where societal institutions are strong, but individualism is weak), usually because society has just emerged from difficult challenges – in the most recent cycle, the Second World War. This is followed by an ‘Awakening’, where signs of progress and prosperity everywhere are accompanied by more individualistic pursuits and demands that personal interests come first (the latest of which commenced in the mid-1960s). Then there is an ‘Unravelling’, where individualism dominates, and institutions are increasingly weak. As Howe notes, This is a time when social authority feels inconsequential, the culture feels exhausted, and people feel bewildered by the number of options available to them. It is a time of celebrity circuses and a tremendous amount of freedom and creativity in our personal lives, but very little sense of public purpose. The most recent Third Turning began in the mid-'80s with Morning in America, and continued through the '90s. Previous periods of Unraveling in American history were also decades of cynicism and bad manners. Think of the 1920s, the 1850s, the 1760s. And history teaches us that the Third Turnings inevitably end in Fourth Turnings. Regretfully, the fourth cycle (or Turning) is one of ‘Crisis’ when society's basic institutions are torn down and rebuilt, and seemingly insurmountable problems are addressed. He notes that, unfortunately, such periods are often accompanied by large-scale wars, which is not a happy prospect. However, the reason for my optimism is that he goes on to characterize a generation emerging called the Millennials. The article notes that, Unlike the Baby Boomers, who are largely individualistic and anti-establishment, the Millennials are good team players. We hear a lot these days about working together for a common cause, volunteerism, and the need for stronger government institutions, largely because these are the new priorities of the Millennial Generation...Millennials are builders, not destroyers....[they] want to skip the philosophical debate and get straight to fixing things... Innovation tends to stagnate, while a few new technologies will be chosen to be adopted on a large scale... The authority and obligations of community will strengthen at all levels, from local to national and possibly beyond. Although predictions about the future should always be treated with scepticism, I found this thesis oddly comforting. I see, in it, the possibility that we might now just accept that education systems have become undermined by those corrosive values caricatured as the ‘Unravelling’ – to the point that those educators who seek to do good work often find themselves fighting against all odds just to create the space to be able to do their jobs. Although I have no idea whether or not Howe’s thesis will prove to be correct, I do believe that the way in which he characterizes the so-called Millennial generation articulates precisely the values that we urgently need to restore to our education systems. And, more importantly, the concept of OER, provides – in my opinion – the perfect vehicle through which this restoration can commence, driven as it could be by those committed to essential values for good education – openness, sharing, and a design to build a common social knowledge base. This return to fundamental principles is essential if we are to unravel the complex policy frameworks that systems planners and policy-makers in the last 20 years 4
  • 5. have created and that have helped to propel education systems worldwide to the point of crisis in which they now find themselves. This is because creating and sharing OER is essentially about working together towards a common cause. In Howe’s terms it is about the ‘authority and obligations of community’. Sharing materials that others can adapt and use recognizes the value inherent in team work and the improvements in thinking that will emerge from such collaboration. Doing this openly, using the already proven innovations of the Internet to facilitate sharing of content, presents a practical way to use cooperation to find simple solutions to pressing problems we face. If educators start doing this in large numbers, the values of the systems for which they work will catch up, as all systems ultimately are just a codification of how people have agreed to work and interact with each other. Consequently, rewards and incentives will shift to reflect appreciation for sharing and communal building at the expense of individualism and unhealthy competition. Conversely, if we wait for systemic policies to change before we start collaborating, then we have only ourselves to blame if the system’s values are never shifted. With this in mind, I have a vision for the Health sector wherein individual academics, and then increasingly entire departments and faculties, come together in some common online space (which, like the most successful Internet phenomena, is not ‘owned’ by some institutional or corporate interest) to start sharing the materials they have produced in an effort ultimately to ensure all the material that students in African and other universities will need to complete their studies successfully can be accessed – legally – without any costs of licensing. There are vast quantities of such material already available in universities across the world, from which no-one is generating any meaningful commercial return – and many more being produced every week. These represent a common intellectual capital that should be unlocked to drive and support education rather than kept hidden away from sight. As with all such communal processes, the initial results will be messy – and there will be many problems to solve, such as how to create appropriate curriculum frameworks for storing content and mechanisms to help with assessing quality. But online communities have demonstrated the now indisputable power and value of lots of people working collaboratively towards a common cause. And doing this in education has the potential to re-focus education systems, restoring the core values of building and sharing knowledge that underpin good education, and systematically encouraging us to work with and learn from each other. And, then, maybe, the crisis that looms – according to Howe – might rather become a positive force for real social development. 5