As a consequence of the COVID-19 pandemic, the number of decentralized clinical trials, trials conducted in whole or in part at locations other than traditional clinical trial sites, significantly increased. While these trials have the potential advantage of access, participant centricity, convenience, lower costs, and efficiency, they also raise a number of important ethical and practical concerns. Here we focus on a number of those concerns, including participant safety, privacy and confidentiality, remote consent, digital access and proficiency, and trial oversight. (...) Awareness of these ethical complexities will help foster the development of processes and cooperative solutions to promote safe, ethical trials going forward, optimized to decrease burden and increase access for all participants. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:All You That Labor: Religion and Ethics in the Living Wage Movement by C. Melissa SnarrSarah A. NeeleyAll You That Labor: Religion and Ethics in the Living Wage Movement C. Melissa Snarr New York: New York University Press, 2011. 205pp. $49.00Melissa Snarr’s All You That Labor offers an ethical and sociological analysis of the role of religious and feminist organizations in the living wage movement, both of which (...) have been previously overlooked. Snarr not only brings religion [End Page 194] into the conversation but also effectively demonstrates that religious activism has played a significant role in the US living wage movement since its conception in Baltimore. Although Snarr is an activist in the movement, her academic rigor comes through as her research weaves the stories and experiences of other activists with the rich religious traditions of Walter Rauschenbusch, John Ryan, and Martin Luther King Jr. She argues that religious leaders are well equipped to provide leadership and change the conversation on the topic since they are versed in ethical arguments and challenging ideologies. Religious activists, as Snarr aptly shows, have brought attention to the issues of race and gender oppression in wage discrimination, which is significant since Snarr provides statistical evidence that persons of color and women are significantly underpaid in the United States.One of the many strengths of the book is Snarr’s unique perspective on the topic. She provides arguments that are both sociological and ethical. The work beautifully combines the two disciplines to offer a well-balanced history of the movement, analysis of key issues, and critique of society. Furthermore, the feminist work is written by an insider, one of the activists in the movement, without neglecting research or critique. At no point does Snarr oversimplify the issues related to the movement. She offers a complex view of multiple poverties and does not allow the living wage movement to be reduced to economic discourse. Spiritual, emotional, physical, and political poverties receive equal attention alongside monetary poverty with the statement that “most people in poverty experience the intersection of multiple poverties simultaneously” (23). The argument and ethical imperative is clear: systems of oppression are widespread and attempt to destroy on multiple fronts, and religious activism is well suited to provide the multidimensional, holistic response needed to adequately confront economic oppression of groups with a long history at the margins.Perhaps one of the greatest contributions of Snarr’s book is that it is a work in feminist ethics that pays equal attention to women and people of color. An entire chapter on wage discrimination is expected from a white feminist; however, there is an equally detailed chapter on racial discrimination before the chapter on gender justice. The chapter on race argues that the movement itself provides an example for racial justice because it is one of the most racially diverse social action movements. The chapter on gender provides complexity to the systems of sexism as Snarr argues that the movement furthers gender oppression through unpaid or underpaid activist positions filled by women. What is not clear is how the issues of sexism and racism are related in the larger system of economic oppression.Snarr provides example after example of approaches and actions that were effective, although some only to a small extent, and the book concludes with an invitation for the reader to join the movement with a vision for future [End Page 195] justice. Snarr’s book is a timely academic account of the living wage problem and an ethical call for action when the economic future, especially for the United States poor, remains uncertain and worker justice is beginning to receive attention.Sarah A. NeeleyIliff School of Theology/University of DenverCopyright © 2013 Society of Christian Ethics... (shrink)

The practice of paying prisoners to for their participation in research has long been debated, and the controversy is reflected in the differing policies in the U.S. prison systems. Empirical study of financial payments to inmates who enroll in research has focused on whether this practice is coercive. In this study, we examined whether monetary incentives have the potential to be unduly influential among fifty HIV‐positive prisoners. The majority of prisoners surveyed believed that inmates should receive some compensation for their (...) involvement in research and disagreed with statements suggesting that the offer of payment constitutes undue influence. However, a sense of potentially being susceptible to undue influence was significantly higher among participants who had spent a longer time in prison and had less education. Overall, our findings suggest that most prisoners feel that they would be able to make a decision about research enrollment that is not solely based on an offer of monetary payment. (shrink)

Why do people shift their strategies for solving problems? Past work has focused on the roles of contextual and individual factors in explaining whether people adopt new strategies when they are exposed to them. In this study, we examined a factor not considered in prior work: people's evaluations of the strategies themselves. We presented undergraduate participants from a moderately selective university (N = 252; 64.8% women, 65.6% White, 67.6% who had taken calculus) with two strategies for solving algebraic word (...) problems and asked them to rate these strategies and their own strategy on a variety of dimensions. Participants’ ratings loaded onto two factors, which we label quality and difficulty. Participants’ initial evaluations of the quality of the strategies were associated with whether they used the strategies at posttest, and this effect held even when controlling for individual and contextual factors. However, people's evaluations of the difficulty of the strategies were not consistently associated with their later adoption of those strategies. We also examined individual and contextual predictors of strategy ratings and strategy adoption. Participants’ need for cognition and their spatial visualization ability were associated with their strategy evaluations, and the framing of the story problems was associated with their strategy adoption. The findings highlight that strategy adoption depends on multiple interacting factors, and that to understand strategy change, it is critical to examine how people evaluate strategies. (shrink)

How would feminist concerns fare in the debate between Confucian role ethics and virtue ethics? Ann Pang-White sketches the contours of a non-dichotomous, role-based virtue ethics that is illuminated by a Confucian feminist account as one possible answer to this query. By reimagining the virtues of chastity and filiality that are indispensable to Confucian contexts, Pang-White seeks to develop a reading that can be useful in defending feminist values and replacing outdated understandings of gender roles in societies informed (...) by Confucian thought today. In continuing the conversation with her, Stephen Angle asks whether a modernized, relational, role-based virtue ethics can really suffice to respond to feminist concerns. Sarah Mattice proposes that Pang-White center intersectional perspectives on feminism for the latter’s project, while Lily Zhang invites her to analyze how certain ethical conflicts that arise within the framework of Confucian ethics between roles and virtues can be resolved from Pang-White’s perspective. Pang-White’s reply to the panel reiterates different aspects of her relational role-based virtue ethical reading of Confucian feminism to argue that a better appreciation of the situatedness and imperfections of morality is needed to understand the imperfections that come in with it. _ _. (shrink)

ObjectiveTo increase knowledge of how doctors perceive futile treatments and scarcity of resources at the end of life. In particular, their perceptions about whether and how resource limitations influence end-of-life decision making. This study builds on previous work that found some doctors include resource limitations in their understanding of the concept of futility.SettingThree tertiary hospitals in metropolitan Brisbane, Australia.DesignQualitative study using in-depth, semistructured, face-to-face interviews. Ninety-six doctors were interviewed in 11 medical specialties. Transcripts of the interviews were analysed using thematic (...) analysis.ResultsDoctors’ perceptions of whether resource limitations were relevant to their practice varied, and doctors were more comfortable with explicit rather than implicit rationing. Several doctors incorporated resource limitations into their definition of futility. For some, availability of resources was one factor of many in assessing futility, secondary to patient considerations, but a few doctors indicated that the concept of futility concealed rationing. Doctors experienced moral distress due to the resource implications of providing futile treatment and the lack of administrative supports for bedside rationing.ConclusionsDoctors’ ability to distinguish between futility and rationing would be enhanced through regulatory support for explicit rationing and strategies to support doctors’ role in rationing at the bedside. Medical policies should address the distinction between resource limitations and futility to promote legitimacy in end-of-life decision making. (shrink)

The current study examined whether Callous-Unemotional (CU) traits, a core component of psychopathy, modulate neural responses of participants engaged in a social exchange game. In this task, participants were offered an allocation of money and then given the chance to punish the offerer. Twenty youth participated and responses to both offers and the participant’s punishment (or not) of these offers were examined. Increasingly unfair offers were associated with increased dorsal anterior cingulate cortex (dACC) activity but this responsiveness was not modulated (...) by CU traits. Increasing punishment of unfair offers was associated with increased dACC and anterior insula activity and this activity was modulated by CU traits. Higher CU trait participants showed a weaker association between activity and punishment level. These data suggest that CU traits are associated with appropriate expectations of other individual’s normative behavior but weaker representations of such information when guiding behavior of the self. (shrink)

Background: People with traumatic brain injury face a range of mental health challenges during the adjustment process post-injury, but access to treatment can be difficult, particularly for those who live in regional and remote regions. eHealth provides the potential to improve access to evidence-based psychological therapy for people with a severe TBI. The aim of the current study is to assess the efficacy of a psychological intervention delivered via video consulting to reduce psychological distress in people with TBI.Methods: This paper (...) outlines the protocol for a multi-center, three-arm, parallel, non-inferiority randomized controlled trial of an evidence-based manualized psychological intervention, ACT-Adjust. ACT-Adjust provides nine sessions for adults with a moderate to severe TBI experiencing clinical levels of psychological distress. Fifty-six participants referred from Brain Injury Rehabilitation Units across New South Wales and the NSW icare scheme will be randomly allocated to three conditions; video consulting, face-to-face and, a waitlist control.Discussion: This is the first RCT to evaluate the efficacy of a psychological therapy delivered via video consulting for individuals with a moderate to severe TBI.Trial Registration:www.anzctr.org.au, Australian New Zealand Clinical Trials Registry ANZCTRN2619001602112. (shrink)

This commentary analyses the quantitative parameters of Reichle et al.'s model, using estimates when explicit information is not provided. The analysis highlights certain features that appear to be necessary to make the model work and ends by noting a possible problem concerning the variability associated with oculomotor programming.

What is philosophy? What is metaphor? Could thinking take place metaphorically? If one follows the mainstream Western definition of philosophy, the answer to the latter question would certainly be negative. Metaphors are perceived as primitive, pre-analytical, and imprecise—thus pre-philosophical! Drawing on multiple cross-cultural resources, Metaphor and Metaphilosophy: Philosophy as Combat, Play, and Aesthetic Experience by Sarah A. Mattice insightfully challenges this widespread assumption in the current...

A child’s death is a profound loss for mothers and affects hundreds of thousands of women. Mothers report inconsolable and progressive grief that is distinct from depression and impacts daily emotions and functions. The brain mechanisms responsible for this relatively common and profound mental health problem are unclear, hampering its clinical recognition and care. In an initial exploration of this condition, we used resting state functional MRI (fMRI) scans to examine functional connectivity in key circuits, and task-based fMRI to examine (...) brain network activity in grieving mothers in response to pictures of their deceased child and as well as recognizable deceased celebrities and unfamiliar individuals. We compared nine mothers who had lost an adult child and aged-matched control mothers with a living child of a similar age. Additionally, we collected diffusion imaging scans to probe structural connectivity and complemented the imaging studies with neuropsychological assessments. Increased functional activation in Ventral Attention/Salience Networks accompanied by a reduced activation in the medial prefrontal cortex in response to the deceased child’s picture robustly distinguished the grieving mothers from controls. Heightened resting-state functional connectivity between the paraventricular thalamic nucleus (PVT) and the amygdala distinguished the grieving mothers from the controls and correlated with subjective grief severity. Structurally, maternal grief and its severity were associated with alterations in corticolimbic white matter tracts. Finally, grieving mothers performed worse than controls on neuropsychological tests of learning, memory, and executive function, linked with grief severity. Reduced activation in cortical regions inhibiting emotions and changes in the PVT circuitry—a region involved in long-term emotional memories and decision making under conflict—distinguish grieving mothers from controls. Notably, the magnitude of neurobiological changes correlates with the subjective severity of grief. Together, these new discoveries delineate a prevalent and under-recognized mental health syndrome and chart a path for its appreciation and care. (shrink)

This article illuminates why Nicolás Palacios’s 1904 monograph, Raza chilena:Libro escrito por un Chileno i para los Chilenos [Chilean Race: A Book Written by a Chilean for Chileans], is central to the creation of a myth of Chilean racial homogeneity at the turn of the twentieth century. Placing Palacios in the context of Latin American eugenic discourse, it demonstrates how he selected a specific racial origin story in order to accommodate his belief in racial hierarchy while also depicting race mixing (...) in a positive light. Specifically, the article highlights how the myth of Chilean racial homogeneity elided the difference between the term “mestizo,” which was applied to people of mixed racial heritage, and “white.” I contend that Palacios sought to differentiate Chileans from other Latin Americans by emphasizing their racial distinctiveness. The article therefore highlights that Latin American eugenics was concerned with the creation of national narratives that historicized particular racial mixtures in order to reify and affirm national differences. As such, it connects to literature regarding the history of eugenics, race, nation, and the creation of whiteness. (shrink)

In this important book, Jennifer Scuro's lived experience presents a challenge to common ideas and assumptions about motherhood, femininity, and anti-abortion politics, as well as to the familiar content and form of philosophy. It is centered on an intensely personal, 176-page graphic novel that details the vivid aspects of Scuro's own miscarriage. Her experience serves as a philosophical allegory, challenging neoliberal and ableist assumptions that presume normalcy, expect results, and promise the false freedom of choice. Initially fitting the script of (...) "normal" motherhood and femininity, Scuro's experience brought her to the "razor's edge" of her cisgender, white privilege. The cutting truth of her story is that... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Disturbances and Dislocations: Understanding Teaching and Learning Experiences in Indigenous Australian Women’s Music and DanceSarah H. WattsElizabeth Mackinlay. Disturbances and Dislocations: Understanding Teaching and Learning Experiences in Indigenous Australian Women’s Music and Dance (Bern: Peter Lang, 2007).Elizabeth Mackinlay, a lecturer in the Aboriginal and Torres Strait Islander Studies Unit at the University of Queensland, documents her unique pedagogical approaches and ways of thinking about the teaching and learning (...) of music and dance in her book, Disturbances and Dislocations: Understanding Teaching and Learning Experiences in Indigenous Australian Women’s Music and Dance. A university-level anthropology course dealing with the music and dance traditions of Australia’s Yanyuwa women was the setting for this “ethnographic case study” (p. 17). Through this course, Mackinlay sought to help students connect Indigenous Australian performance practices to social and political issues while fostering awareness of gender issues and learning processes within Indigenous Australian music and dance performance contexts. These objectives were met through a distinctive approach—by disposing of the strict lecture class format and bringing the field into the classroom. Disturbances and Dislocations documents the experiences of Mackinlay, her students, and several Yanyuwa women who come together as part of the course to engage in hands-on, authentic music and dance exchanges that bring the Yanyuwa women’s voices to the fore. [End Page 90]From the very beginning of the book, Mackinlay highlights her unique point of view as author of this work. She is a “white, middle class, educated woman” (p. 15) researching the experiences of and teaching university-level courses relating to Indigenous Australian and Torres Strait Islander peoples, a cultural background that is not her own. She is a political, educational, and ethnic outsider to the groups of peoples she studies. The wife of an Aboriginal man and mother to Aboriginal children, she is afforded links to the Yanyuwa people that provide her with a measure of status as a family member within the community. The dichotomy of being at once an insider and an outsider in the Yanyuwa community lends a fascinating level of complexity to Mackinlay’s exploration and analysis of the presence and impact of Yanyuwa culture-bearers in her classroom. The warmth, honesty, and openness with which she addresses her unique role in this learning exchange is engaging to the reader, and allows her personal situation to add humanity and life to the words on the page.The eight-chapter book commences with an introductory section that reflects upon her personal experiences in engaging in scholarship relating to Indigenous Australian issues. Additionally, the reader is introduced to the site of the ethnography, her classroom, in which her personal and professional lives intertwine. The next chapter further establishes the context of the ethnography by discussing a pilot project that laid foundations for the main study presented in the book. In this 1999 pilot project, a group of Mackinlay’s students, largely white women, participated in hands-on music and dance workshops under the guidance of Mackinlay and several Yanyuwa women. Student responses from this pilot project indicated that they felt awkward at times, but valued the time spent with the Yanyuwa guests and wished for more of these types of class sessions. Mackinlay determined that this cultural exchange could be even richer if more class time could be dedicated to it, an important observation for her own work, and also for others who seek to furnish cultural encounters for students.The fourth chapter delves into a theoretical discussion of the meanings of the inclusion of the study of Aboriginal and Torres Strait Islander peoples in contemporary classroom settings. Issues of political positioning, representation of Indigenous voices, identity, and “speaking from and of in-between spaces” (p. 64) as one with a foothold in both white and Indigenous worlds are all addressed, engaging the reader in Mackinaly’s own complex journey of coming to terms with her own teaching and scholarly pursuits. It is refreshing to the reader that Mackinlay acknowledges her unique viewpoint as facilitator of this course and this research study. While she is an authority in this realm, she highlights her own backgrounds and biases, her individual lens... (shrink)

The recent expansion of online genetic-genealogical networks has been hailed as a development that could break racial taboos in the United States by providing irrefutable evidence of the myriad historical and genetic links—many originating in slavery—connecting white and black families. These predictions are countered, however, by a scholarly literature on “white ignorance,” defined as an active historical project that works to prevent privileged groups from apprehending their links to, and positionality within, systems of racial oppression. This paper mobilizes (...) concepts from the fields of agnotology and epistemic ethics to assess how far genetic-genealogical technologies can contribute to redressing racialized epistemic inequities between slave and slaveholder descendants, by inducing the latter to respond to the former’s kinship claims and give access to data that could help reconstruct their linked family histories. Drawing on ethnographic and interview data that foreground the experiences of African American genealogists, the study outlines the structural and affective dimensions that have converged to enable white ignorance regarding genealogies of slavery and discusses ethical and technical solutions proposed by genealogical practitioners to redress the racialized power dynamics that continue to condition access to, and public acceptance of, family history knowledge relating to slavery. (shrink)

Recent studies show that racism still exists in the American medical profession, the fact of which legitimizes the historically long-legacy of mistrust towards medical profession and health authorities among African Americans. Thus, it was suspected that the participation of black patients in end-of-life care has always been significantly low stemmed primarily from their mistrust of the medical profession. On the other hand, much research finds that there are other reasons than the mistrust which makes African Americans feel reluctant to the (...) end-of-life care, such as cultural-religious difference and genuine misunderstanding of the services. If so, two crucial questions are raised. One is how pervasive or significant the mistrust is, compared to the other factors, when they opt out of the end-of-life care. The other is if there is a remedy or solution to the seemingly broken relationship. While no studies available answer these questions, we have conducted an experiment to explore them. The research was performed at two Philadelphia hospitals of Mercy Health System, and the result shows that Black patients’ mistrust is not too great to overcome and that education can remove the epistemic obstacles as well as overcome the mistrust. (shrink)

In this reflection, I respond to Anthony Reddie's reflections and assertions about the sacramentality of black flesh in a world shaped by white supremacy. I locate myself as Korean American and refer to my experience of ministering to university students during the rise of Black Lives Matter in the US. Instead of offering cognate claims for the sacramentality of Asian flesh, I ask what theological repentance should look like in light of the historical profaning of the black body. Using (...) the work of two black American artists, jazz musician Robert Glasper and painter Titus Kaphar, I offer beginning reflections on how our liturgies and practices need to change as part of theological repentance—including lament. (shrink)

Using data from 80 in-depth qualitative interviews with women randomly sampled from New York City, I ask: how do women develop expectations about their future workforce participation? Using an intersectional approach, I find that women’s expectations about workforce participation stem from gendered, classed, and raced ideas of who works full-time. Socioeconomic status, race, gender, and sexuality influenced early expectations about work and the process through which these expectations developed. Women from white and Latino working-class families were evenly divided in (...) their expectations about their future workforce participation, while the vast majority of white, Asian, African American, and Latina middle-class women expected to work continually as adults. Unlike their working-class white and Hispanic peers, all of the working-class Black respondents developed expectations that they would work continuously as adults. The intersections of race, class, and gender play a central role in shaping women’s expectations about their participation in paid work. (shrink)

In this chapter I discuss the particular situation of being at the intersection of disability and child poverty. I then give a thick description that shows what it is like to be a nondisabled white girl living in poverty with two parents with disabilities—I give my own story. Then I offer some empirical facts to demonstrate the problems distilled from the thick description: custody challenges, child as carer, unemployment, charity, and lack of choice. I then discuss stigma from a (...) theoretical point of view. I put forward a view of ontological vulnerability that is more expansive than Martha Fineman’s or Catriona Mackenzie’s using Judith Butler’s and Jackie Leach Scully’s work on vulnerability. After that I offer some ways to combat stigma of children in poverty and disability. It is upon this that I construct an alternative political vision that would value human need and be responsive to vulnerabilities without erasing or assimilating difference. (shrink)

We hypothesize that black women experience accelerated biological aging in response to repeated or prolonged adaptation to subjective and objective stressors. Drawing on stress physiology and ethnographic, social science, and public health literature, we lay out the rationale for this hypothesis. We also perform a first population-based test of its plausibility, focusing on telomere length, a biomeasure of aging that may be shortened by stressors. Analyzing data from the Study of Women’s Health Across the Nation (SWAN), we estimate that at (...) ages 49–55, black women are 7.5 years biologically “older” than white women. Indicators of perceived stress and poverty account for 27% of this difference. Data limitations preclude assessing objective stressors and also result in imprecise estimates, limiting our ability to draw firm inferences. Further investigation of black-white differences in telomere length using large-population-based samples of broad age range and with detailed measures of environmental stressors is merited. (shrink)

Last year, more than seven million Americans participated in yoga or tai chi classes.Yet despite its popularity the real nature of yoga remains shrouded in mystery. A diverse range of practitioners range from white-bearded Indian mystics to celebrities like Madonna and Gwyneth Paltrow. Positioning Yoga provides an overview of the development of yoga, from its introduction to Western audiences by the Indian Swami Vivekananda at the 1893 Parliament of the World's Religions in Chicago to forms of modern practice. What (...) makes yoga practitioners affiliated with Swami Sivananda's Divine Life Society of Rishikesh, India unique--whether they hail from Indian, North America, or Europe? What values around the world have supported the surging popularity of yoga over the past century? This absorbing book considers how lifestyle values have made yoga a global industry and shows how this popular "lifestyle" is produced and disseminated across boundaries. (shrink)

South African philosopher Mabogo Percy More has devoted more than four decades of his work to the problem of “being-black-in-an-antiblack-world.” This article interrogates the extent to which More homogenizes the contingencies of black2 existence and black embodiment, as I feel black existentialists do; or subsumes the phenomenology of the lived experience of blackness under a “black universalist” account that does not give an adequate account of the gendered embodied experiences with antiblack racism. By “contingency” I mean More’s concept of the (...) contingency of existence, where he claims that human existence is without necessity, nor is it justified; and so people resort to attempting to justify their existence and to find meaning by trying to assume the status of God or superiority in relation to others. More argues that contingency is the source of antiblack racism, as white people attempt to justify their existence by dehumanizing black people. I claim that contingency does not only play out in the interracial domain, but is also one of the sources of intraracial sexism within the black community. My interrogation aims to extend the reach of More’s work by giving an existential-phenomenological account of “being-black-and-female-in-an-antiblack-antifemale-world.” To this end, I focus on two contingencies—the contingencies of biological sex and the contingency of physical strength—that More discusses in his sole article on intraracial sexism, “Black Attitudes: A Call for Personhood” (1981). I argue that within the black intraracial domain, these two contingencies are ascribed meaning that creates a binary, which elevates black men to superior status, while reducing black women to the inferior. (shrink)

: Articulating heterosexualism is not to supplicate for gays (that's the work of 'heterosexism' and 'homophobia') but to better understand consequences of institutionalizing a particular relationship between men and women. In this essay, Hoagland takes up the claim from a number of women of color that women are not all the same gender.

Objective:Prior research examining sexual and intimacy concerns among metastatic breast cancer patients and their intimate partners is limited. In this qualitative study, we explored MBC patients’ and partners’ experiences of sexual and intimacy-related changes and concerns, coping efforts, and information needs and intervention preferences, with a focus on identifying how the context of MBC shapes these experiences.Methods:We conducted 3 focus groups with partnered patients with MBC [N = 12; M age = 50.2; 92% White; 8% Black] and 6 interviews (...) with intimate partners [M age = 47.3; 83% White; 17% Black]. Participants were recruited through the Fox Chase Cancer Center Tumor Registry and the Cancer Support Community. Qualitative data were analyzed using the Framework Method and Dedoose software.Results:Qualitative analyses revealed several key themes reflecting ways in which MBC shapes experiences of sex/intimacy: the heavy disease/treatment burden leads to significant, long-term sexual concerns and consequent heightened emotional distress for both patients and partners ; viewing the relationship as having “an expiration date” influences patients’ and partners’ concerns related to sex/intimacy and complicates coping efforts; and information needs extend beyond managing sexual side effects to include emotional aspects of intimacy and the added strain of the life-limiting nature of the disease on the relationship. The heightened severity of sexual concerns faced by patients with MBC, compounded by the terminal nature of the disease, may place patients and partners at risk for significant adverse emotional and interpersonal consequences.Conclusion:Findings suggest unique ways in which sex and intimate relationships change after a diagnosis of metastatic breast cancer from both patients’ and partners’ perspectives. Consideration of the substantial physical and emotional burden of MBC and the broader context of the relationship and intimacy overall is important when developing a sexuality-focused intervention in this population. Addressing sexual concerns is a critical part of cancer care with important implications for patients’ health and quality of life. (shrink)

Articulating heterosexualism is not to supplicate for gays but to better understand consequences of institutionalizing a particular relationship between men and women. In this essay, Hoagland takes up the claim from a number of women of color that women are not all the same gender.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Transcendence and Violence: The Encounter of Buddhist, Christian, and Primal TraditionsSarah K. PinnockTranscendence and Violence: The Encounter of Buddhist, Christian, and Primal Traditions. By John D'Arcy May. New York: Continuum, 2003. 225 + xi pp.In popular media, religion appears as a dangerous social phenomenon with explosive potential. The investigation of transcendence as a source of violence is particularly timely in light of America's war on terrorism targeting extremist (...) Islam. However, this negative dimension of religion is nothing new. Over the course of history, hostility [End Page 231] and killing are intimately connected with religious divisions. The irony of religious violence as a betrayal of religious ethical ideals is both obvious and inescapable.Approaching this hot topic from the perspective of religious imperialism, John D'Arcy May examines violence perpetrated by the Christian and Buddhist traditions against indigenous religions. His investigation covers damaging evidence against these two universalizing traditions using geographically specific case studies in Asia and the Pacific Rim. Situating Christianity and Buddhism in parallel as religions of transcendence, he compares how indigenous localized religions were overpowered by expansionist universalizing religions, although not eradicated. Into his historical narrative, he weaves his personal encounters with otherness growing up in Australia while virtually oblivious to the oppression of Aboriginals by white settlers, and as a Roman Catholic doing ecumenical work in Papua New Guinea for four years.May opens the book with bold admission of the failures of European Christianity, evidenced in anti-Judaism and Holocaust genocide, and Theravada Buddhism's violent involvement in Sri Lanka's civil conflict between Singhalese nationalists and Hindu Tamils. The reader is led to expect elaboration on the moral failings of Christianity, and this proves true; however, May's examination of the Buddhism's expansion and endorsement of violence tempers the tendency to single out Christianity as uniquely imperialist. He suggests that transcendence itself can cause hierarchy and oppression.Part I of the book focuses on Christianity and violence. Chapter 1 studies how European Protestant and Catholic settlers to Australia treated the Aboriginal peoples. The story is grim. Using a psychoanalytic framework, May interprets the European vilification of Aboriginals as stemming from the repression of the primal other, and the repression of bio-cosmic religion in favor of transcendence. Constructively, he proposes that Aboriginal peoples can offer theological insights about the ontology of sacred space. Christians should not only seek reconciliation in society, but also consider new perspectives on the sacred in nature drawn from the dreaming of Aboriginal religious lore.In chapter 2, May deals with colonization in the Melanesian Islands of the Pacific Ocean, concentrating on Papua New Guinea. In the indigenous religions of Melanesia, the prosperous community is the measure of religious rectitude, while misfortune is explained by the breaking of taboos and the revenge of enemies or evil spirits. After European colonization, "cargo cults" arose among the islands that promised abundant material goods possessed by European settlers by means of religious rituals and magic. Surprisingly, May points out the positive impulses at the root of these cargo cults that are typically viewed as detrimental and even outlawed outright by local governments for their harmful social impact. At bottom, he argues, cargo cults reflect a positive religious aspiration for wholeness and healing in this life that is a counterpoint to the spiritualization of salvation by European Christianity.May tries to avoid idealizing these primal cultures and their religious insights; nevertheless, he finds them instructive for Christian theology. Native religions in both Australia and Papua New Guinea offer models of immanence that emphasize the religious value of nature and just relationships. It should be mentioned that [End Page 232] there is some nuance to this conclusion. For instance, Melanesian religion is portrayed as less exemplary than Australian aboriginal religion. But May's main point is that violence on a global scale is validated by Christian notions of transcendence that deny the material aspirations of the indigenous community, and promote a superiority that wreaks violence among indigenous peoples. Hopefully, intercultural theology will allow Christians to appreciate the Aboriginal respect for sacred geography and the Melanesian quest for the flourishing of one's local community.Christianity and Buddhism are treated... (shrink)

Black women do not want to become white women because they know that this is impossible. Yet, some black women straighten and curl their naturally kinky hair, or wear hair extensions, weaves and wigs that resemble Caucasian hair. Still, they recognize that hair is only one attribute of their Being and that even if they choose to wear non-African hairstyles, they can concurrently embrace other aspects of their black identity. So, is this a matter of cultural assimilation or integration, (...) or is there a deeper ontological problematic underlying these cross-racial hair styling choices? I interrogate three arguments that black women usually advance for their hairstyling choices – the survival strategy argument, the protective styling argument, and the options-choice argument. I use Mabogo Percy More’s interpretation of Jean-Paul Sartre’s concepts of “the Look,” “facticity,” and “bad faith” to analyze Black women’s hair consciousness through the lens of his “Politics of Being” concept. (shrink)

Though their biographies vastly differ, Karl Barth's long-term extra-marital relationship with Charlotte von Kirschbaum and John H. Yoder's sexual crimes have been the focus of a range of reactions and proposed approaches on how to read the theology of the two theologians given their biographies. This article will examine those critical responses using an analytical framework appropriated from Sameer Yadav's work on cognate conversations about locating and remedying the causes of white supremacy in the church: are the problems due (...) to problematic theology, problematic institutional practice, or both? A correct diagnosis helps the theologian to then propose the right remedy. This adapted framework will be applied to the cases of Barth and Yoder to critically examine how Steven Plant and Rachel Muers respond to Barth's biography and how Stanley Hauerwas and Hilary Scarsella respond to Yoder's biography. After demonstrating how the different respondents address the issue as one primarily of problematic theology or problematic institutional practices, I will argue that it is both theology and practice that must be addressed in order to satisfactorily deal with the reality and scale of infection when it comes to influential theologians. Sample treatments will be offered for responding to Barth's and Yoder's biographies. (shrink)

This chapter critiques a recent defense of the anti-rape movement by Carrie N. Baker and Maria Bevacqua that is symptomatic of white feminism’s understanding of violence and the state. I critique Baker and Bevacqua’s piece for its “knowing, loving ignorance,” as defined by Marianna Ortega. I reach this diagnosis by examining how Baker and Bevacqua use the work of women of color to substantiate their own narrative of the anti-rape movement while distorting the critical and constructive work done by (...) the very people and organizations they cite. I conclude that until there is an ongoing practice of accountability for the history of anti-violence movement collusion with state violence, white feminists should not take leadership roles in policy decisions. (shrink)

This article draws on Donna Haraway’s call for feminist speculative fabulation as an approach to qualitative research methodologies and writing praxis in schools. The first section of the article outlines how I conceptualize speculative thought, through different philosophers and theorists, and provides a brief literature review of speculative fiction used in secondary English curricula. The article then focuses on an in school creative writing project with grade 9 English students. In the student examples that I attend to, speculative fabulations and (...) situated feminisms are entangled, rendered complex, and in tension. In the final section, I discuss the Whiteness of mainstream speculative fiction and argue that speculative fabulation must be accountable to situated feminisms in how we read, write, and conduct research. (shrink)

IntroductionResearch indicates that body image disturbance is associated with poorer psychosocial outcomes for individuals with physical health conditions, with poorest body image reported for individuals with visible bodily changes. Using White’s theoretical model of body image the present paper aimed to examine the nature of these relationships in two distinct groups: individuals with an amputation and individuals with diabetes. It was hypothesized that body image disturbance would be associated with psychosocial outcomes and would mediate the relationships between self-ideal discrepancy (...) and personal investment in psychosocial outcomes.MethodsIndividuals with diabetes and individuals with an amputation provided details regarding their medical condition, and completed measures assessing body image, investment, self-ideal discrepancy, depression, anxiety, and quality of life. Structural equation and invariance modeling were used to test the model paths and the invariance of the model.ResultsAs hypothesized, body image disturbance was found to mediate the relationships between personal investment and psychosocial outcome, and between self-ideal discrepancy and psychosocial outcome. The predicted paths were invariant across groups, although the model accounted for more variance in people with an amputation than people with diabetes.ConclusionBody image disturbance, personal investment, and self-ideal discrepancy are important factors contributing to psychosocial outcome for individuals with diabetes and individuals with an amputation. These findings not only confirm the validity of the model in these two groups, but they emphasize the importance of targeting body image in future psychological interventions for individuals with a health condition. (shrink)

Tips and tricks for capturing your canine's personality withevery click of the camera Simply snapping a picture may not capture the playfulness orspontaneity of a dog. Knowing what kind of equipment, angle, andcomposition to use while photographing a dog can make all thedifference in the character captured in the photo. DogPhotography For Dummies gives you practical and fun guidancefor capturing your dog's personality and turning ordinary shotsinto priceless memories that will last a lifetime. Covering all the latest and greatest gadgets (...) and accessoriesavailable to capture and alter photos of your favorite pooch,Dog Photography For Dummies offers techniques that amateursand intermediates alike can use to improve their photographyskills. This hands-on guide features great examples of dogportraiture, plus tons of ideas for fun new places to pose yourfurry friend, such as the beach, the park, the car, in the snow,and more. Detailed discussions of color versus black-and-white, indoorsversus outdoors, composition, and capturing movement Advice on how to get a dog to sit still Considerations for photographing a shy dog who is scared of thecamera Guidance on making the most of natural light Tips for photographing dogs with black coats How to photograph people and dogs together Whether for decorating, memories, or holiday cards, DogPhotography For Dummies makes it easy to capture the best ofyour four-legged friend. (shrink)

Octavia Butler's 1979 novel Kindred is a hybrid text: part historical novel, part science fiction/fantasy and part slave narrative. The story transports a contemporary black heroine into 19th–century Maryland in order to explore, recreate and connect with African American narratives of identity. Providing two narrative strands, one in 19th–century Maryland and the other in 20th–century California, the text is able to juxtapose the realities of slavery with its legacy. Conflating these time–periods, Kindred aims to interrogate the marginalization of African American (...) history, but specifically the role black women played in that history, in America's bicentennial year. While Butler adapts what has been regarded as the quintessential African American literary mode of the slave narrative, her fiction consciously draws upon a literary heritage that foregrounds narratives written by black women. Consequently, Kindred highlights the issues and concerns that directly affect the construction of black femininity and its role in the community of slaves as well as examining the historical pressure brought to bear on the configuration of contemporary African American womanhood. In doing so, Butler's fiction articulates the right of black women to intervene in their own construction and to inscribe the existence of black women in stories of originary identity. What this article seeks to explore is how Butler's fiction develops and extends the traditional slave narrative, how this is utilized in order to interrogate the ‘realities’ of both slavery and contemporary US society, and how effective the text is in challenging stereotypical representation of white and black femininity. (shrink)

ObjectivesWorking memory is essential for daily life skills like reading comprehension, reasoning, and problem-solving. Healthy aging of the brain goes along with working memory decline that can affect older people’s independence in everyday life. Interventions in the form of cognitive training are a promising tool for delaying age-related working memory decline, yet the underlying structural plasticity of white matter is hardly studied.MethodsWe conducted a longitudinal diffusion tensor imaging study to investigate the effects of an intensive four-week adaptive working memory (...) training on white matter integrity quantified by global and tract-wise mean diffusivity. We compared diffusivity measures of fiber tracts that are associated with working memory of 32 young and 20 older participants that were randomly assigned to a working memory training group or an active control group.ResultsThe behavioral analysis showed an increase in working memory performance after the four-week adaptive working memory training. The neuroanatomical analysis revealed a decrease in mean diffusivity in the working memory training group after the training intervention in the right inferior longitudinal fasciculus for the older adults. There was also a decrease in mean diffusivity in the working memory training group in the right superior longitudinal fasciculus for the older and young participants after the intervention.ConclusionThis study shows that older people can benefit from working memory training by improving their working memory performance that is also reflected in terms of improved white matter integrity in the superior longitudinal fasciculus and the inferior longitudinal fasciculus, where the first is an essential component of the frontoparietal network known to be essential in working memory. (shrink)

Starting from the dispute centered around « positivity of politics » and « negativity of theory », as it took place on the mailing list of the NextGENDERation — a European network of students and researchers in women’s studies - we investigate the ways in which the split between « thinking » and « doing » is among the key mechanisms that demarcate the knowledge production along the lines of race and gender. As generations of feminists have pointed out, the (...) dismissal of the knowledges of « Others » - women and ethnic peoples as theory, and the relegation of these knowledges to the category of « description », maintain a sexual and racial division of labour in favour of white intellectuals, and ultimately preserves the existing social relations of domination. We argue that the affirmation of feminist practices, and perhaps its re-politicization cannot afford to pass through the negation of theory. Instead, we urge, in the light of NextGENDERation’s feminist intervention at the European Social Forum in Florence, for a recuperation of feminist, antiracist and queer genealogies which would allow for new forms of feminist subjectivities on the one hand, and the furthering of feminisms as oppositional projects on the other. (shrink)

The editors introduce the core areas of current debate within historical theory, bringing the reader as up to date with continuing debates and current developments as is possible. This important handbook brings together in one volume discussions of the role of modernity, empiricism, realism, post-modernity and deconstruction in the historian’s craft. Chapters are written by leading writers from around the world and cover a wide spread of historical sub-disciplines, such as social history, intellectual history, narrative, gender, memory, psycho-analysis and cultural (...) studies, taking in, along the way, the work of thinkers such as Paul Ricouer, Michel Foucault and Hayden White. (shrink)

This article draws on Donna Haraway’s call for feminist speculative fabulation as an approach to qualitative research methodologies and writing praxis in schools. The first section of the article outlines how I conceptualize speculative thought, through different philosophers and theorists, and provides a brief literature review of speculative fiction used in secondary English curricula. The article then focuses on an in school creative writing project with grade 9 English students. In the student examples that I attend to, speculative fabulations and (...) situated feminisms are entangled, rendered complex, and in tension. In the final section, I discuss the Whiteness of mainstream speculative fiction and argue that speculative fabulation must be accountable to situated feminisms in how we read, write, and conduct research. (shrink)

Collaboration requires agents to coordinate their behavior on the fly, sometimes cooperating to solve a single task together and other times dividing it up into sub‐tasks to work on in parallel. Underlying the human ability to collaborate is theory‐of‐mind (ToM), the ability to infer the hidden mental states that drive others to act. Here, we develop Bayesian Delegation, a decentralized multi‐agent learning mechanism with these abilities. Bayesian Delegation enables agents to rapidly infer the hidden intentions of others by inverse planning. (...) We test Bayesian Delegation in a suite of multi‐agent Markov decision processes inspired by cooking problems. On these tasks, agents with Bayesian Delegation coordinate both their high‐level plans (e.g., what sub‐task they should work on) and their low‐level actions (e.g., avoiding getting in each other's way). When matched with partners that act using the same algorithm, Bayesian Delegation outperforms alternatives. Bayesian Delegation is also a capable ad hoc collaborator and successfully coordinates with other agent types even in the absence of prior experience. Finally, in a behavioral experiment, we show that Bayesian Delegation makes inferences similar to human observers about the intent of others. Together, these results argue for the centrality of ToM for successful decentralized multi‐agent collaboration. (shrink)

The study of emotional intelligence and its relationship with the dark triad has emerged as a popular research area. However, the complex nature of the dark triad and EI, including multiple me...

Background The allocation of scarce deceased donor kidneys is a complex process. Transplant providers are increasingly relying on constructs such as frailty and cognitive function to guide kidney transplant (KT) candidate selection. Patient views of the ethical issues surrounding the use of such constructs are unclear. We sought to assess KT candidates’ attitudes and beliefs about the use of frailty and cognitive function to guide waitlist selection.Methods KT candidates were randomly recruited from an ongoing single-center cohort study of frailty and (...) cognitive function. Semi-structured interviews were conducted, and thematic analysis was performed. Inductively derived themes were mapped onto bioethics principles.Results Twenty interviews were conducted (65% contact rate, 100% participation rate) (60% male; 70% White). With respect to the use of frailty and cognitive function in waitlisting decisions, four themes emerged in which participants: (1) valued maximizing a scarce resource (utility); (2) prioritized equal access to all patients (equity); (3) appreciated a proportional approach to the use of equity and utility (precautionary utility); and (4) sought to weigh utility- and equity-based concerns regarding social support. While some participants believed frailty and cognitive function were useful constructs to maximize utility, others believed their use would jeopardize equity. Patients were uncomfortable with using single factors such as frailty or cognitive impairment to deny someone access to transplantation; participants instead encouraged using the constructs to identify opportunities for intervention to improve frailty and cognitive function prior to KT.Conclusions KT candidates’ values mirrored the current allocation strategy, seeking to balance equity and utility in a just manner, albeit with conflicting viewpoints on the appropriate use of frailty and cognitive impairment in waitlisting decisions. (shrink)

Environmental change requires individuals and institutions to facilitate adaptive governance. However, facilitating adaptive governance may be difficult because resource users' perceptions of desirable ways of life vary. These perceptions influence preferences related to environmental governance and may stem from the ways individuals subjectively value their work and their connections to their environment. This paper uses a value-based approach to examine individual and institutional preferences for adaptive governance in Carelmapu, Chile. We show that two groups had different value frames rooted in (...) divergent ontologies which influenced their actions related to adaptive governance, creating conflict. (shrink)

Human judgements are affected by the words in which information is presented —or ‘framed’. According to the standard gloss, ‘framing effects’ reveal counter-normative reasoning, unduly affected by positive/negative language. One challenge to this view suggests that number expressions in alternative framing conditions are interpreted as denoting lower-bounded (minimum) quantities. However, it is unclear whether the resulting explanation is a rationalising one. I argue that a number expression should only be interpreted lower-boundedly if this is what it actually means. I survey (...) how number expressions might be assigned lower-bounded meanings, due to their conventional semantics or pragmatic enrichment in context. I argue that deciding between these possibilities requires foundational philosophical input. (shrink)

This article surveys the latest research on risky-choice framing effects, focusing on the implications for rational decision-making. An influential program of psychological research suggests that people's judgements and decisions depend on the way in which information is presented, or ‘framed’. In a central choice paradigm, decision-makers seem to adopt different preferences, and different attitudes to risk, depending on whether the options specify the number of people who will be saved or the corresponding number who will die. It is standardly assumed (...) that such responses violate a foundational tenet of rational decision-making, known as the principle of description invariance. We discuss recent theoretical and empirical research that challenges the dominant ‘irrationalist’ narrative. These approaches typically pay close attention to how decision-makers represent decision problems (including their interpretation of numerical quantifiers or predicate choice) and they highlight the need for a more robust characterization of the description invariance principle. We conclude by indicating avenues for future research that could bring us closer to a complete—and potentially rationalizing—explanation of framing effects. (shrink)