Despite the growing autonomy of schools in the school systems of developed countries and the increase in the educational prerogatives of head teachers, the latter, particularly in France, have a relatively weak legitimacy to regulate and transform the teaching practices of teachers. Faced with this difficulty, they are regularly obliged to implement detour strategies in order to create the conditions for pedagogical change within the institution. In this article, we will show, through a qualitative study carried out in a French (...) secondary school, how the management team took advantage of the margin of maneuver left by the institution to experiment an innovative evaluation device without note. This experiment gave the school principal the opportunity to enroll, interest and temporarily stabilize a network of school actors (teachers and other staff) around local issues and mobilize them Transform teaching practices. The data collected were analyzed from the characteristics of the translation process theorized by Callon (1986). (shrink)

Scholars have noted persistent high rates of agricultural health and safety incidents and the need to develop more effective interventions. Participatory research provides an avenue to broaden the prevailing research paradigms and approaches by allowing those most impacted to illuminate and work to solve those aspects of their lives. One such approach is photovoice, an emancipatory visual narrative approach. Yet, despite its broad appeal, photovoice can be hard to implement. In this article, we leverage our experience using photovoice for a (...) farm children safety project to describe and reflect on the ethical and methodological aspects broadly relevant to agricultural health and safety topics. We first contextualize the tensions of navigating between photovoice, the research ethics committees (RECs) regulatory frameworks, and competing views on visual representations in agriculture. We then discuss the sources of risks to participants and researchers, how we addressed these risks, and how these risks unfolded during the research phase of the photovoice activity. We conclude with three lessons we (re)learned: the importance of collaborating with RECs, the need to increase preparation to limit psychological risks to participants and researchers, and avenues to augment the emancipatory power of photovoice in a virtual environment. (shrink)

A recent paper by Teresa Baron and Geoffrey Dierckxsens argues that puberty blockers and hormone therapy should be disallowed before adulthood on prudential and consent-related grounds. This response contends that their argument fails because it is predicated on unsupported premises and misinterpretations of the available evidence. There is no evidence that a large proportion of pubertal and postpubertal youths later discontinue medical transition. Meaningful assent is a viable and commonly accepted alternative to meaningful consent in paediatric bioethics. And finally, the (...) primary purpose of transition-related interventions is to actualise youths’ gendered self-image, not treat an underlying mental illness. (shrink)

Background Seeking assent from children for participation in medical research is an ethical imperative of numerous institutions globally. However, none of these organizations provide specific guidance on the criteria or process to be used when obtaining assent. The primary objective of this scoping review was to determine the descriptions of assent discussed in the literature and the reported criteria used for seeking assent for research participation in pre-adolescent children. Methods Medline and Embase databases were searched until November 2020 using the (...) term “assent” in the title or abstract. Inclusion criteria were (1) studies enrolling children which specifically described operationalization of the assent process and (2) studies of the assent process which provided a description of assent. Data collected included participant information, patient criteria for seeking assent, guidelines referenced, description of assent reported, how assent was obtained and assent information presented, and reported assent rate. For qualitative articles focusing on the assent process, important themes were identified. Results A total of 116 articles were included of which 79 (68.9%) operationalized assent and 57 studies (%) described the assent process. The most commonly reported criterion used to determine the ability of a child to assent was age (35.4%, 28/79). The reported minimal age for obtaining pediatric assent varied considerably across and within jurisdictions (5–13 years; median 7.5 years, IQR 7.0, 9.75). Cognitive ability was reported as a criterion for obtaining assent in 5.1% (4/79) of studies. Assent rates were only reported in 17.7% (14/79) of citations and ranged from 32.0 to 100%. Analysis of the 57 studies describing the assent process identified several themes, including age thresholds, assessment of capacity, variable knowledge of pediatric assent and parental roles. Conclusion We found significant variation in criteria used for assessment of patient capacity, delivery of information used to obtain assent and documentation of the assent process. While we acknowledge that individual children, settings and jurisdictions may require different approaches to obtaining assent, there should be agreement on important principles to be followed with resulting common guidance on assessing capacity, delivering information and documentation of the assent process for publication. (shrink)

Throughout the Middle Ages, the Trojan legend was used as a benchmark for writing about war. But, it was in the backdrop of the Crusades, in particular the Fourth Crusade (1204) and its aftermath, that it becomes a fully significant archetype. On the one hand, the Trojan War featured in the narrative of contemporary conflicts and, on the other hand, the Trojan narrative was expanded on and updated, so as to express and reflect on ongoing conflicts. Through a distinct geographical (...) overlap between Troy and Constantinople, the ongoing war is portrayed in the way it coincides with the very locations of the past conflict, generating a reflection on the causes of the war that offers a cyclical vision of time and calls for stratigraphical comprehension. These textual and iconographic resonances between Troy and the Crusade shape questions and uncertainties about war and make the myth a matrix that is poetic, historical and political. (shrink)

Despite 40-year-old evidence of childcare challenges limiting women’s participation in agriculture in the United States, it was not until a major societal crisis, COVID-19, that farm organizations and policy makers began to recognize that these challenges negatively impact the farm enterprise. Among farm persistence and farm transition scholars, farm households’ social and economic needs, including childcare, have also been underappreciated despite the constant exchange of time, money, and energy between the farm household and the enterprise. We use survey responses from (...) 729 U.S. farm families to understand how children and their childcare needs shape the farm enterprise and the extent to which childcare arrangements, farm individuals and households, and farm enterprise characteristics interact with these decisions. A high proportion of respondents made changes to adapt to the needs of children with the greatest impact on farm productivity, followed by impact on the structure of labor on- and off- the farm, and impact on the farm enterprise structure. These impacts likely have short- and long-term consequences on the trajectory of the farm enterprise and well-being of the household. Different decisions required a different calculus and the trade-offs that respondents considered were shaped by access to a support system, access to financial resources, and specific needs of the children. Last, the limited variations across the four decisions for a number of farm individual and household characteristics hint both at the universality of being a farm parent needing to constantly adapt amid high rates of childcare challenges and inadequate social safety nets. We conclude our article by discussing the implications of our findings along with future research avenues. (shrink)

Cette thèse de doctorat se propose de reprendre l'ensemble de la philosophie pratique de Kant en aval, c'est-à-dire à partir de l'ouvrage chronologiquement tardif dans le corpus kantien, "La religion dans les limites de la simple raison" (1793), dont la première partie assigne à la volonté un défi : le "mal radical". Le "mal radical" n'est pas le mal absolu ou diabolique, mais il consiste en une inversion (Verkehrtheit) de l'ordre des principes au sein du vouloir, et ne peut être (...) déraciné que par l'entière conversion du coeur. Avec le mal, s'ouvre l'antinomie du judaïsme, considéré par le philosophe comme le contre-modèle de la foi par excellence, et du christianisme, criterium unique et anhistorique de la religion, seul à même de résoudre le problème de l'homme nouveau. Si, selon Kant, le judaïsme est nouménalement nul parce qu'incapable de véhiculer le contenu de la religion rationnelle, le philosophe, qui considère l'interdit biblique de l'idolâtrie comme "le commandement le plus sublime du Livre de loi des Juifs", lui reconnaît néanmoins le mérite de mettre l'accent sur le respect. Le christianisme, quant à lui, met l'accent sur l'amour, dont Kant retient la signification pratique, à savoir qu'il est l'état de perfection de l'intention vers lequel nous devons tendre. (shrink)

During the last two decades there has been an enormous development in treatment possibilities in the field of neonatology, particularly for (extremely) premature infants. Although there are cross-cultural differences in treatment strategy, an overview of the literature suggests that every country is confronted with moral dilemmas in this area. These concern decisions to initiate or withhold treatment directly at birth and, later on, decisions to withdraw treatment with the possible consequence that the child will die. Given that the neonate cannot (...) express his or her own will, who will decide? And on the basis of what information, values and norms? We explored some of these issues in daily practice by interviewing a small sample of health care practitioners in a Dutch university Neonatal Intensive Care Unit (NICU). It turned out that experiencing moral dilemmas is part of their daily functioning. Nurses underline the suffering of the newborn, whereas physicians stress uncertainty in treatment outcome. To make the best of it, nurses focus on their caring task, whereas physicians hope that future follow-up research will lead to more predictable outcomes. As for their own offspring, part of these professionals would hesitate to bring their own extremely premature newborn to a NICU. For the most oppressing dilemma reported – terminating an already initiated treatment – we propose the concept of ‘evidence shift’ to clarify the ambiguous position of uncertainty in decision making. (shrink)

Introduction Les femmes n'ont eu véritablement accès au pastorat dans les Églises protestantes françaises qu'en l966. Certes, une femme avait été consacrée en 1948, mais à condition de rester célibataire et sans enfants. Celles qui dans les années suivantes exercèrent exceptionnellement la fonction pastorale ne furent pas consacrées. L'accès des femmes au ministère féminin vient couronner de succès les efforts de plusieurs générations de partisans de l'égalité des sexes au sein du pro..

Drawing on the principle of subsidiarity, this article develops a framework for allocating medical decision-making authority in the absence of capacity to consent and argues that decisional authority in paediatric transgender healthcare should generally lie in the patient. Regardless of patients’ capacity, there is usually nobody better positioned to make medical decisions that go to the heart of a patient’s identity than the patients themselves. Under the principle of subsidiarity, decisional authority should only be held by a higher level decision-maker, (...) such as parents or judges, if lower level decision-makers are incapable of satisfactorily addressing the issue even with support and the higher level decision-maker is better positioned to satisfactorily address the issue than all lower level decision-makers. Because gender uniquely pertains to personal identity and self-realisation, parents and judges are rarely better positioned to make complex medical decisions. Instead of taking away trans youth’s authority over their healthcare decisions, we should focus on supporting their ability to take the best possible decision for themselves. (shrink)

Volume 19, Issue 6, June 2019, Page W3-W4.

Although informed consent models for prescribing hormone replacement therapy are becoming increasingly prevalent, many physicians continue to require an assessment and referral letter from a mental health professional prior to prescription. Drawing on personal and communal experience, the author argues that assessment and referral requirements are dehumanising and unethical, foregrounding the ways in which these requirements evidence a mistrust of trans people, suppress the diversity of their experiences and sustain an unjustified double standard in contrast to other forms of clinical (...) care. Physicians should abandon this unethical requirement in favour of an informed consent approach to transgender care. (shrink)

Research on racism in the workplace has long focused on organizational remedies for this moral problem. Given the acknowledged inadequacies of organizational solutions such as anti-racism training, attention is now turning to how immigrants manage their individual experiences of racism in a western context. Employing an agentic lens, this article describes a qualitative study of 43 African nurses in the UK in which their capacity for withstanding workplace racism is examined. It investigates how participants draw upon a range of religious (...) coping strategies to make sense of and respond to racism. The data indicate that African nurses rely on specific coping strategies at different points in time and across various contexts, adapting their coping approaches to accommodate their personal growth and individual experiences. This underscores the versatility, context-dependency, and temporal aspects of religious coping among immigrants. The study’s findings are particularly interesting given the limited role that religion plays in western organizations. (shrink)

In recent years, the long-standing questions of why, how, and which farm families continue farming in the face of ongoing changes have increasingly been studied through the resilience lens. While this body of work is providing updated and novel insights, two limitations, a focus on macro-level challenges faced by the farm operation and a mismatch between the scale of challenges and resilience measures, likely limit our understanding of the factors at play. We use the example of medical economic vulnerability, a (...) micro-level challenge traditionally confined to the household sphere of the agri-family system, as a way to call attention to these limitations. Focusing on United States farm households, we assess: To what extent are they experiencing medical economic vulnerability when using objective and subjective outcome measures? Which demographic and farm characteristics are associated with experiencing medical economic vulnerability? What is the association between institutional arrangements and medical economic vulnerability? Our analysis of over 900 surveys coupled with a conceptual framework merging complementary insights from three bodies of literature revealed seemingly large differences in the prevalence of medical economic vulnerability across the objective and subjective measures with the subjective measure indicating a general sentiment of medical economic vulnerability in a majority of respondents. Conversely, limited variations were noted in who experiences medical vulnerability on the basis of demographic and farm characteristics, with stronger associations being connected to the households’ health insurance arrangements. We conclude with three implications of our findings for the farm resilience literature. (shrink)

The “dynamic developmental” theory of attention-deficit/hyperactivity disorder (ADHD) has come full circle from Wender's (1971) reinforcement hypothesis. By specifying the principle of time constraints on reinforcement and extinction, the present theory allows for empirical validation. However, the theory implies, but does not discuss, implications for the neurophysiology of comorbidity in ADHD. The authors' attribution of comorbid oppositional behavior to parental and societal reinforcement leaves out biological factors.

Numerous mediators are involved in both the control and the transmission of nociceptive messages, and several lines of research have been developed in the management of pain. Complete enkephalin- degrading enzyme inhibitors, which produce naloxone-reversible analgesia in all tests where morphine has been found to be active, remains the most promising way. CCK compounds, especially the CCKB antagonists also may be interesting drugs. Indeed, they are able to strongly potentiate the antinociceptive effects of the opioids. [dickenson, wiesenfeld-hallin et al.].

How to account for participants’ psychological and emotional exhaustion with research has been under‐explored in the research ethics literature. Research fatigue, as it is known, has significant impacts on patients’ well‐being and their ongoing and future participation in studies. From the perspective of researchers and researched communities, research fatigue also creates selection bias and opportunity costs, negatively impacting the collective scientific enterprise. Institutional Review Boards should systematically consider research fatigue during the research approval process and strive to mitigate it.

By attending to how people speak about their gender, we can find diverse answers to the question of what it is like to have a gender identity. To some, it is little more than having a body whereas others may report it as more attitudinal or dispositional—seemingly contradictory views. In this paper, I seek to reconcile these disparate answers by developing a theory of how individual gender identity comes about. In the simplest possible terms, I propose that gender identity is (...) how we make sense of our gender subjectivity, the totality of our gendered experiences of ourselves. Gender identity is constituted by gender subjectivity, but this constitutive relationship is underdetermined. While gender subjectivity may narrow the range of inhabitable gender identities, it is always compatible with more than one. To arrive at a gender identity, we arrange gender subjectivity like building materials. My theory helps us understand how different people offer seemingly incompatible accounts of their gender identity without questioning their authenticity or validity. They simply arrange similar building materials differently. (shrink)

Florence Chiew interviews Maurizio Meloni on his new book, Impressionable Biologies: From the Archaeology of Plasticity to the Sociology of Epigenetics. The conversation reflects on a number of key themes and arguments in Meloni’s work, such as the use of the term ‘impressionability’ to explore longstanding ideas of the permeable body in constant flux in response to cosmological changes. This notion of the body-porous is one whose history Meloni traces back to ancient traditions and systems of medicine, such as (...) humoralism. In this important book, Meloni makes a compelling argument for questioning the current emphasis on the novelty of biological plasticity as an exclusively contemporary phenomenon, and urges us to take a longer genealogical perspective to appreciate how histories of corporeal plasticity have always been part of deeply gendered, racialized and classed discourses in which social hierarchies have been made through physiological distinctions. (shrink)

Les sites internet santé français relèvent-ils de la vulgarisation scientifique et médicale? Et, si tel est le cas, dans quelle acception du terme « vulgarisation »? Comment ce média transforme-t-il la recherche d’information sur les questions de santé? Il permet une nouvelle forme de vulgarisation, où l’utilisateur définit lui-même le degré de vulgarisation souhaité. Cette autonomisation affranchit davantage de la normativité imposée par les vulgarisateurs, qui jusqu’alors choisissaient et limitaient contenus et forme des textes. Outre une fonction informative, quels sont (...) les autres usages de ces sites? Qu’apportent-ils d’autre que la consultation d’ouvrages ou de revues sur la santé? Ils offrent (notamment grâce aux échanges sur les forums de discussion) une autre vision de l’information santé : moins verticale, elle remet en question les traditions de paternalisme médical, encore passablement ancrées en France, et s’opposent ainsi à la normativité du discours médical, où le savoir est transmis de manière unilatérale, des professionnels de la santé et du médicament vers le grand public. (shrink)

The terms of debate over insurance coverage of transition-related interventions, which includes facial feminization surgery (FFS), has been defined through the reconstructive versus cosmetic dichot...

Although it has been recognized that employees regularly engage in non-green behaviors, little research has been conducted to explain how these behaviors may be avoided. Using data from a three-wave study, this study tested a moderated-mediation model in which trust in the immediate manager was expected to increase the indirect effect of supervisory support for the environment on non-green behaviors through employee environmental commitment. While the findings showed, as predicted, that exchange relationships with the immediate manager reduce the tendency of (...) employees to engage in non-green behaviors, the indirect effect of supervisory support on non-green behaviors through employee environmental commitment was moderated at a low level of trust in the manager, contrary to predictions. Though unexpected, this result seems less surprising when discussed in the light of negotiated exchange, suggesting that employee efforts to avoid non-green behaviors need to be seen as the result of a deal between managers and subordinates. The findings of this study contribute to the emerging literature on social exchange in an environmental context and have implications for organizations seeking to achieve environmental sustainability. (shrink)

Philippe Lejeune, spécialiste international de l'écriture autobiographique, enseigne au département de littérature de l'université Paris-Nord ; l'entretien, réalisé par Gabrielle Houbre et Florence Rochefort, s'est déroulé le 1er mars 1996, dans son bureau privé, à Fontenay-aux-Roses. Le texte qui suit en est une version réduite et légèrement réécrite. Vous avez publié plusieurs ouvrages analysant la pratique de l'écriture autobiographique - L'Autobiographie en France (1971), Le Pacte...

En faisant du sujet de droit la prémisse anthropologique de la société, la modernité bouleverse la nature de l’intérêt général qui se mesure désormais à l’aune des aspirations individuelles. L’intérêt général est moins un principe qu’une notion relationnelle, qui articule, par le moyen du contrat, la composition des droits et des intérêts particuliers. Pourtant, la réciprocité initiale entre le droit et l’intérêt débouche sur une tension contrariant le projet de composer un intérêt général apte à les satisfaire également. L’étude conjointe (...) de deux auteurs, Thomas Hobbes et John Locke, permet de saisir que la priorité accordée à l’un des deux pôles, le droit et l’intérêt, aboutit à des pensées politiques radicalement divergentes, selon qu’elles portent l’accent sur l’exigence de la justice ou sur la poursuite de l’utilité sociale. Parce que la satisfaction des intérêts menace parfois de se retourner contre les droits, tandis que la protection des droits tend à discriminer les intérêts, la question se pose de savoir si l’univocité de la formule « intérêt général » ne masque pas une dualité dans sa nature, rendant problématique son statut d’idéal régulateur pour les sociétés modernes. (shrink)

In conversation with Hortense Gallois’ recent essay on the importance of bioethicists participating in public discourse, I suggest that speaking up is as fraught as it is important. Focusing on the anti-trans movement’s misuse of expertise, I highlight the fine line between correcting misinformation and inadvertently causing harm through ill-timed speech. Drawing on the work of Eva Feder Kittay, I suggest that knowing when to speak up and when to stay silent starts with understanding the communities we speak about and (...) the consequences that our words can have on them. (shrink)

As global warming continues to attract growing levels of attention, various stakeholders have put climate change on corporate agendas and expect firms to disclose relevant greenhouse gas information. In this paper, we investigate the consistency of the GHG information voluntarily disclosed by French listed firms through two different communication channels: corporate reports and the Carbon Disclosure Project. More precisely, we contrast the amounts of GHG emissions reported and the methodological explanations provided in each channel. Consistent with a stakeholder theory perspective, (...) we find that GHG amounts are significantly lower in the CR than in the CDP. We also find that firms increase the CR figures’ traceability when there is a discrepancy between disclosures in the two channels. We suggest that the aim of this greater traceability is to enhance information credibility across the different channels used. (shrink)

This paper analyses the use of metaphor in discourses around the “superweed” Palmer amaranth. Most weed scientists associated with the US public agricultural extension system dismiss the term superweed. However, together with the media, they indirectly encourage aggressive control practices by actively diffusing the framing of herbicide resistant Palmer amaranth as an existential threat that should be eradicated at any cost. We use argumentative discourse analysis to better understand this process. We analyze a corpus consisting of reports, policy briefs, and (...) press releases produced by state extension services, as well as articles from professional and popular magazines and newspapers quoting extension specialists and/or public sector weed scientists or agronomists. We show how the superweed discourse is powered by negative metaphors, and legitimizes aggressive steps to eradicate the weed. This discourse reinforces the farmers’ techno-optimism master frame, contributes to deskilling of farmers and sidelines ethical concerns. (shrink)

A well-established narrative in the history of science has it that the years around 1800 saw the end of a purely descriptive, classificatory and static natural history. The emergence of a temporal understanding of nature and the new developmental-history approach, it is thought, permitted the formation of modern biology. This paper questions that historical narrative by closely analysing the concepts of development, history and time set out in Karl Ernst von Baer’s study of the mammalian egg (1827). I show that (...) Baer’s research on embryogenesis aimed not simply to explain temporal changes, but to inscribe the formation of new individual organisms into a continuous, unending organic process. I confront Baer’s views with other explanations of embryogenesis arising in the 1820s and 1830s, especially those of Jean-Baptiste Dumas and Jean-Louis Prévost and of Theodor Schwann. By highlighting divergences between these scientists, especially as to their view of the role of gender differences in reproduction, I argue that biology evolved not from a homogeneous concept of developmental history but out of various, even opposing, views and research programmes. Thus, the birth of biology did not imply the end of all natural history’s thought models. (shrink)

La mayoría de la gente o no conoce a Adrienne von Speyr o piensa en ella como en una extraña figura mística que trabajó con el teólogo Hans Urs von Balthasar. Sin embargo, pocos la conocen como médica de Basilea entre los años 30 y 50 del siglo XX. Ejerció su profesión con una pasión inspirada por su fe, integrando constantemente ciencia y espiritualidad. El objetivo de este artículo es presentar esta faceta poco estudiada de la vida de Adrienne von (...) Speyr, y el modo en que su actividad médica modeló su lectura de las Escrituras, en particular del capítulo 11 del evangelio de Juan. También y sobre todo destaca la originalidad de su contribución a la ética médica de su época. (shrink)