This article highlights the extent to which finding a job without actively searching sustains workplace sex segregation. We suspect that unsolicited information from job informants that prompts fortuitous job changes is susceptible to bias about gender “fit” and segregates workers. Results from analyses of 1,119 respondents to the 1996 and 1998 waves of the National Longitudinal Survey of Youth are generally consistent with this expectation. Gender “misfits”—individuals employed in gender-atypical work groups— are more likely to move into gender-typical work groups (...) than neutral ones. Women misfits are more likely to move into male-dominated than neutral work groups without a job search, but they join mostly desegregated occupations and receive lower job rewards than men misfits who change jobs without searching. We conclude that the nonsearch process serves as an important mechanism that sustains sex segregation and workplace inequality. (shrink)

Most experts would agree that the current medical malpractice system in the United States does not work effectively either to compensate victims fairly or prevent injuries caused by medical errors. Policy responses to a series of medical malpractice crises have not resulted in effective reform and have not altered the fundamental incentives of the stakeholders. In Medical Malpractice, economist Frank Sloan and lawyer Lindsey Chepke examine the U.S. medical malpractice process from legal, medical, economic, and insurance perspectives, analyze past (...) efforts at reform, and offer realistic, achievable policy recommendations. They review the considerable empirical evidence in a balanced fashion and assess objectively what works in the current system and what does not. Sloan and Chepke argue that the complexity of medical malpractice stems largely from the interaction of the four discrete markets that determine outcomes--legal, medical malpractice insurance, medical care, and government activity. After describing what the evidence shows about the functioning of medical malpractice, types of defensive medicine, and the effects of past reforms, they examine such topics as scheduling damages as an alternative to flat caps, jury behavior, health courts, incentives to prevent medical errors, insurance regulation, reinsurance, no-fault insurance, and suggestions for future reforms. Medical Malpractice is the most comprehensive treatment of malpractice available, integrating findings from several different areas of research and describing them accessibly in nontechnical language. It will be an essential reference for anyone interested in medical malpractice.Frank A. Sloan is J. Alexander McMahon Professor of Health Policy and Management and Professor of Economics at Duke University. He is the coauthor of The Price of Smoking and author or editor of many other books on health economics. Lindsey M. Chepke, an attorney, is a Research Associate at the Center for Health Policy at Duke University. (shrink)

Children’s cognitive control and knowledge at school entry predict growth rates in analogical reasoning skill over time; however, the mechanisms by which these factors interact and impact learning are unclear. We propose that inhibitory control (IC) is critical for developing both the relational representations necessary to reason and the ability to use these representations in complex problem solving. We evaluate this hypothesis using computational simulations in a model of analogical thinking, Discovery of Relations by Analogy/Learning and Inference with Schemas and (...) Analogy (DORA/LISA; Doumas et al., 2008 ). Longitudinal data from children who solved geometric analogy problems repeatedly over 6 months show three distinct learning trajectories though all gained somewhat: analogical reasoners throughout, non-analogical reasoners throughout, and transitional – those who start non-analogical and grew to be analogical. Varying the base level of top-down lateral inhibition in DORA affected the model’s ability to learn relational representations, which, in conjunction with inhibition levels used in LISA during reasoning, simulated accuracy rates and error types seen in the three different learning trajectories. These simulations suggest that IC may not only impact reasoning ability but may also shape the ability to acquire relational knowledge given reasoning opportunities. (shrink)

In the Politics of Black Joy, Lindsey Stewart develops Hurston's contributions to political theory and philosophy of race by introducing the politics of joy as a refusal of neoabolitionism, a political tradition that reduces southern Black life to tragedy or social death.

In this essay Robert Rhoads, Jennifer Berdan, and Brit Toven-Lindsey examine some of the key literature related to the open courseware (OCW) movement (including the emergence and expansion of massive open online courses, or MOOCs), focusing particular attention on the movement's democratic potential. The discussion is organized around three central problems, all relating in some manner or form to issues of power: the problem of epistemology, the problem of pedagogy, and the problem of hegemony. More specifically, the authors raise (...) issues related to the narrow notion of knowledge typically conveyed in the OCW movement, a limited understanding of what constitutes empowering pedagogy, and the lack of treatment of inequities associated with the production of courseware materials. The authors go on to argue that the lack of critical analysis of the OCW movement is tied to its relative alignment with educational reforms driven by neoliberal ideology and that such alignment serves to limit the movement's democratic possibilities. (shrink)

Recent political turmoil has focused international attention on Egypt, yet there is little awareness of the country’s stateless populations—those who lack legal nationality to any state—or the challenges they face. Individuals in situations of protracted statelessness are denied their right to a nationality, resulting in an array of additional rights violations. Such violations include denied freedom of movement, equality before the law, and access to economic and social rights. Drawing from two years’ of fieldwork data, this study highlights the plight (...) of those who are unable to achieve legal status in a country with harsh punishments for illegal presence, entry, and exit. It also evaluates potential solutions for eliminating statelessness in Egypt and protecting the rights of stateless populations. As Egypt seeks to move beyond revolution, it is vital that the government addresses the pervasive and systemic inequalities that deny individuals their right to a nationality. (shrink)

Many critics of the legalization of physician‐assisted death oppose it in part because they fear it will further disadvantage those who are already economically disadvantaged. This argument points to a serious problem of how economic considerations can influence medical decisions, but in the context of PAD, the concern is not borne out. We will provide empirical evidence suggesting that concerns about money influence medical decisions throughout the full course of illness, but at the end of life, financial pressure is much (...) more likely to influence a decision to pursue or reject aggressive life‐extending care than it is to influence a request for PAD. We will also address the question of whether financial pressure as a result of being poor—particularly in the context of an inadequate social safety net—robs people of their autonomy, rendering their informed request and consent invalid. We argue that it does not. We will emphasize the impracticality and injustice of rejecting the role of poverty as a legitimate factor in decision‐making, the irrational distinction between PAD and withdrawal of life‐sustaining care, and the more appropriate focus on the great flaws in the American health care system. (shrink)

Abstract:AbstractIn the post-Trayvon Martin era of racial terror against Black people in the U.S., many scholars frame contemporary anti-Black racial violence in the U.S. as an injustice primarily experienced by Black men and boys. This framing, however, fails to capture the deeply entrenched reality of Black violability. Black violability encapsulates the lived and historical experiences of Black people with state-initiated and state-sanctioned violence. This essay argues for a herstorical approach, which renders visible Black women and girls, trans*, genderqueer, and queer (...) people as victims of anti-Black racial terror. (shrink)

Leech et al.'s model proposes representing relations as primed transformations rather than as structured representations (explicit representations of relations and their roles dynamically bound to fillers). However, this renders the model unable to explain several developmental trends (including relational integration and all changes not attributable to growth in relational knowledge). We suggest looking to an alternative computational model that learns structured representations from examples.

This paper exposes the relation between the different mathematical orientations, on the one hand, and the modes of documentary film on the other. When we take, with Badiou, mathematics as ontology, and mathematical orientations as orientations to Being, we find in the structural similarity of mathematics and documentary an equivalence: between modes of documentaryand mathematical-ontological decisions, regarding the inscription of 'what is'. From here we move to consider Badiou's notion of 'in-appearing' through a reading of Alain Resnais' documentary Night and (...) Fog. (shrink)

In this paper I present a critical analysis of the English law relating to the safeguarding of vulnerable adults, in particular how the law impacts on the sexual lives of adult women with mental disabilities. I consider the discourses of vulnerability that surround the different legal regimes and whether the emerging theoretical vulnerability literature can assist in developing more nuanced legal responses. I argue that the inherent jurisdiction and Care Act 2014 provide an opportunity to move away from the focus (...) on inherent features of vulnerability such as mental disability towards a more nuanced, situational and embodied account of what it means to safeguard ‘vulnerable adults’. This has the potential to be developed in England through the new legal framework of the Care Act and can be achieved through targeting interventions against the situational causes of vulnerability, for example the perpetrators of sexual violence. (shrink)

In “Post-Liberation Feminism,” Ladelle McWhorter raises the question of what practices will be helpful to further feminist goals if we are no longer in a state of domination, but are still oppressed. McWhorter finds resources in Michel Foucault's concept of “practices of freedom” to begin to answer this question. I build upon McWhorter's insight while recalling Angela Davis's Blues Legacies and Black Feminism: namely, that sexual love, as conceived in hoodoo and the blues, became a terrain upon which newly emancipated (...) blacks worked out what their newfound freedom meant. In this essay, I consider what practices of freedom would look like within a life-giving nexus of hoodoo, blues, and sexual love. Not only does the image of the hoodoo woman, prevalent within the blues, emerge through an interaction of race, class, region, gender, sexuality, and spiritualty, but analyzing sexual love within this hoodoo–blues coupling will help us track how sexual love was transformed into a practice of freedom. I will argue that sexual love within this hoodoo–blues coupling reveals an important dimension of emancipatory work that both defies categorization as resistance and is crucial to the development of capacities for resistance. (shrink)

Heyes asks whether cultural learning mechanisms are cognitive instincts or cognitive gadgets. I argue that imitation does not fall into either category. Instead, its acquisition is promoted by its value in social interactions, which is evident across phylogeny and ontogeny and does not depend on the role of imitation in cultural learning.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Christology and EthicsLindsey EsbensenChristology and Ethics Edited by F. Leron Shults and Brent Waters Grand Rapids, Mich.: Eerdmans, 2010. 231 pp. $28.00.This collection of essays is a welcome venture into the often-neglected relationship between Christology and ethics. The book stresses that the reciprocal relationship between Christology and Christian moral discernment needs greater attention as well as creative reformulation. The essays produce a variety of models of how other (...) disciplines provide the critical and constructive developments that can strengthen the bond between Christology and the Christian moral life. Rather than a definitive resolution to the “problem” of these Christian disciplines, the book is an invitation to further inquiry, an offer to join the conversation.Although the contributors to this anthology present disparate analyses, they share the goal of integrating interdisciplinary developments in the engagement of Christology and ethics. While each author shares similar departure points for these essays, the conclusions are vastly diverse for each contributor. This is in part because the essays draw from a broad range of sources, from the theological to the scientific. One chapter incorporates developments in the field of psychoanalysis in a discussion of the Christian emphasis on participation in the “new creation” through Jesus Christ, who is akin to the psychoanalytic “third” (121). Another chapter applies evolutionary epistemology and evolutionary ethics to a discussion of the ongoing social mediation and cultural reinterpretation of what it means to “do as Jesus did” (178). Underlying all the expositions is an affirmation that ethics and Christology mutually instruct and challenge each other (98). [End Page 211]Despite the integral connection among the essays, some underlying tensions remain. For instance, Brent Waters’s “The Incarnation and the Moral Life” strongly emphasizes the distinction between the civil community and the church, between the City of Man and the City of God (30). The church is the body of Christ that ministers to the world; therefore, “the singular ministry of the baptized engages, evangelizes, and orders the world in the name and under the authority of Jesus Christ” (21). All moral discernment outside of that with Christological foundations falls short of its goal. Conversely, Jan-Olav Henriksen’s “The Surprise of Judgment and Justice” suggests a much more inclusive view of non-Christian (and non-Christological) contributions to ethics in his interpretation of Matthew 25. Using the imago Dei as the springboard for his analysis, the world is envisioned as God’s gift, and the other (the neighbor) is the imago Dei who calls for recognition. Henriksen contends, “Because Christ is the true image of God, all of humanity is related to him, and is in some sense represented in him.... Christ is the face of every other human—as the one who calls us to mercy, compassion, and love” (142). Christian moral action, then, “is not only determined by you, it is determined by them and their calling of you” (141). In this sense, then, the church does not minister to the world, but the world ministers to the church in helping her to recognize the world as God’s gift and to see the image of God in the neighbor.While the emphases of the various proposals in this collection of essays may produce tensions, the strain is actually a positive contribution to the overall project. The anthology seeks to examine the most significant issues in the relationship between Christology and ethics without necessarily providing a conclusive resolution to how these disciplines mutually inform and reinforce each other. This collection of essays begins a conversation and invites further investigation of the various lines of inquiry.As with any anthology, each essay will have a greater or lesser appeal to the reader according to his interests. Nonetheless, this collection of essays is a unique contribution to systematic and moral theology, and it is an indispensable anthology for those pursuing Christology or ethics for their future endeavors. [End Page 212]Lindsey EsbensenUniversity of Notre DameCopyright © 2012 Society of Christian Ethics... (shrink)

Pod pewnymi względami niezaawansowany stan badań wirtualności w naukach informatycznych wskazuje na konieczność zgłębienia podstawowych kwestii jej dotyczących, tj. kwestii ontologicznych. Dopiero ich rozstrzygnięcie pozwoli rozwiązać zagadkę tworzenia i istnienia obiektów wirtualnych. Rozpatrzenie tych kwestii utrudnia fakt usuwania z dziedziny zainteresowań współczesnej filozofii metafizyki, a wraz z nią ontologii. Dlatego z powodów merytorycznej trafności odwołuję się do koncepcji ontologicznych oraz epistemologicznych, które mogą być wykorzystane do konstrukcji ontologicznych, wypracowanych dawniej w filozofii, które przez analogie lub inspiracje – jak wykazuję – (...) są obiecującymi kandydatami do zgłębienia zagadnień powstawania i istnienia obiektów wirtualnych. W artykule przedstawiam w skrótowej ekspozycji alternatywne rozstrzygnięcia tych dwóch problemów oraz status istnienia obiektów wirtualnych. Ujęcia te są inspirowane głównie przez relewantne poglądy Platona, Arystotelesa, Franza Brentano i Karla Poppera oraz zbiór koncepcji reprezentacji. (shrink)

At my university, many non-philosophy majors take our introductory ethics course to fulfill a core or general education requirement. I designed a course with these non-majors in mind called, "The Ethics of a Human Life." The course traces the arc of a human life by way of investigating a series of pessimistic ethical issues that arise: why it might be bad to be born, the challenges of being a child or an adolescent, the moral dangers of friendship, sex, love, marriage, (...) and parenting, and whether we should worry about aging, dying, or the afterlife. The arguments we examine challenge students’ ordinary assumptions about what is good or right, not to dissuade them of their optimism, but to show them that philosophy has tools that can help them navigate the ordinary (and extraordinary!) moral problems they will face over the course of their lives. (shrink)

As a result of globalization, the number of people living outside of their countries of origin is on the rise. Among them are children of primary and secondary school age of varying socio-economic backgrounds. This article addresses the education-related challenges that children in such circumstances face. I first identify two principles – an educational adequacy principle and a presumption of responsibility on the part of a host country for meeting children’s educationalneeds – which are widely employed to guide national policy (...) decisions on educational content and the distribution of educational resources. I then discuss a number of problems that students living abroad face which, I argue, policies devised on the basis of these principles either systematically overlook or, in some cases, exacerbate. Finally, I offer two alternative principles – a cosmopolitan revision of the first and a replacement for the second with a focus on collective responsibility – designed to promote education policies better suited to a globalized world which might help to alleviate the barriers to success commonly encountered by children learning abroad. (shrink)

Suicide among Veterans experiencing or at risk for homelessness remains a significant public health concern. Conducting research to understand and meet the needs of this at-risk population remains challenging due to myriad factors. To address this challenge, the United States Department of Veterans Affairs convened the Health Services Research and Development Suicide Prevention in Veterans Experiencing Homelessness: Research and Practice Development meeting, bringing together subject-matter experts in the fields of homelessness and suicide prevention, both from within and outside of VA. (...) During the meeting, attendees identified 10 potential research priorities at the intersection of suicide prevention and homelessness. After the meeting, Delphi methodology was used to achieve consensus on the relative importance of the identified research domains. Through this iterative Delphi process, agreement was reached regarding the need to increase understanding of barriers and facilitators to suicide risk assessment and emergency intervention for Veterans experiencing homelessness by examining the perspectives of both Veterans and healthcare providers. Elucidating the complex relationships between risk periods, subgroups, suicide means, and drivers of suicide among Veterans experiencing homelessness was also considered a top priority. This article documents the Delphi process and provides a research agenda for researchers, funding agencies, and policymakers to prioritize the most relevant and potentially impactful research domains aimed at preventing suicide among Veterans experiencing or at risk for homelessness. (shrink)

Problem reprezentacji w nauce jest intensywnie badany tylko w odniesieniu do nauk empirycznych, przy czym – co ograniczające i wadliwe – w wynikach tych badań dominuje jeden typ identyfikacji relacji reprezentacji, a mianowicie odwołujący się do podobieństwa, w szczególności do izomorfizmu. W tym tekście pokazuję, że zagadnienie reprezentacji w nauce ma trzy braki i wady, które należy usunąć, odkrywając nowe pola rozważań i w związku z tym inicjując nowe badania. Zagadnienie reprezentacji jest ograniczone do wątpliwego identyfikowania reprezentacji jako podobieństwa, nie (...) obejmuje problemu reprezentacji w naukach technicznych i komputerowych, nie rozróżnia nauk opisowo-eksplanacyjnych od nauk stosowanych. Różnice w relacjach reprezentowania, w tym w typach obiektów reprezentowanych i reprezentujących, pokazują najgłębszą różnicę w naturach tych nauk. Wniknięcie w problem reprezentowania otwiera całe obszary dociekań, które mogą prowadzić do bogatszej i szerszej koncepcji nauk niż te dotychczasowe. Ewenementem jest, że obszary te są w niewielkim obecnie stopniu badane w dzisiejszej filozofii. (shrink)

For Gianni Vattimo, the renunciation of violence is the starting point for constructing a post foundational politics. So far, criticism of Vattimo’s argument has focused on his larger commitment to metaphysical nihilism and whether the renunciation of violence is a thicker principle than his post foundational philosophy can support. I argue that Vattimo’s renunciation of violence can also be criticized for two other reasons. First, Vattimo attempts to distinguish between acceptable and unacceptable uses of violence through an under developed idea (...) of self-defense. Second, despite his attention to the political and philosophical impact of mass communications technology, Vattimo ignores emerging technological challenges to our understanding of violence. Nonetheless, I argue that Vattimo’s renunciation can still serve as a useful starting point for contemporary political thinking. What Vattimo’s logic shows is that we can enhance the moral standing of democracy by decisively detaching its practices and institutions from historical artifacts of political violence. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:preface Sometimes, even those of us who have organized our entire lives around the transformative possibilities of Black feminist thought can sit back in wonder at the expansiveness of this intergenerational transnational practice.Thisspecialissuetakesamomenttoimbibewhere we have been, where we are, and where we have yet to journey. The contributors to this special issue on, or more precisely, of Black feminist thought find Black feminist thinking in a wide range of (...) times, places, and forms. Each of the contributors invites us to bear witness in a distinct way to the pushes and pulls of critical engagement with Black feminist thought. Biomythic origin point “mitochondrial eve” brainstorms the archive and admonishes those of us looking back to “be a forest of your own / dreams.” Gladys Bentley sends unrequited texts to... Gladys Bentley. Everything is possible here, even what should never have happened. In If You Can’t Be Free, Be a Mystery: In Search of Billie Holiday, Farah Jasmine Griffin, one of the most dedicated and prolific stewards of Black feminist thought as a liberatory practice, cites Rita Dove’s poem “Canary” to evoke the protective strategies Black women employ to hold something (ourselves, each other) sacred in an unfree world.1 The lineage we participate in through our Black 1. Farah Jasmine Griffin, If You Can’t Be Free, Be a Mystery: In Search of Billie Holiday (New York: Ballantine Books, 2001), 155–56. “Be a Mystery”: (The Infinity of) Black Feminist Thought 8Preface feminist intellectual labor is sacred to us. For generations, even before the name “Black Feminist,” it has existed as a form of love, communion, protest, and prophecy, often far from the spotlight. Nurtured by the warmth of imagination, practices became praxis. Griffin and others have ensured a tradition wherein, to invoke Griffin’s paraphrase of Toni Morrison in her tribute to Nellie McKay, “the mothers may soar and the daughters may know their names.”2 We are some of the daughters. But we are living in times that neither we nor our mothers would hardly recognize. Abolitionist queer Black feminists are topping the New York Times bestseller lists. Our scholars and experts speak on the nightly news. Some of what were once our most marginalized proposals have become policies, funding keywords, and even memes. The Movement for Black Lives, one of the largest and most visible social movements of our time, or any time, explicitly connects its vision to the foundational Combahee River Collective statement. We do this work now in the light of recognition. Masses of people think they know what Black feminism is, and yet, this is not the world that we dreamed. We, the current generation of practicing Black feminist thinkers, are faced with the consequences of Black feminist practice feeling like less of a mystery. We celebrate the legacy our foremothers have made possible, and we must also think creatively, lovingly, and sometimes even cryptically about what this moment can and must mother—or bring into being. It has to bring into being something we cannot describe from here, something we have not yet known. It is exhilaratingly beautiful to look upon what’s been made possible, but we know there is so much more than recognition. Undaunted by a world still hellbent on not caring for or loving us, even as it consumes our insights, theories, and modes of organizing, we create worlds filled with an abundance of joy, affirmation, and ingenuity. It is from this robust, ancestral practice of world-making that this special issue emerges. The pieces found here provide insight into one of the most dynamic aspects of Black feminist thought: its generative power. The range of topics included in this special issue encapsulates the breadth of this interdisciplinary, transnational, multimodal, and 2. Farah Jasmine Griffin, “That the Mothers May Soar and the Daughters May Know Their Names: A Retrospective of Black Feminist Literary Criticism,” Signs 32, no. 2 (Winter 2007): 483–507. Preface 9 intergenerational practice. Given the seemingly infinite nodes and entry points of Black feminist thought, it is befitting that this issue coheres because of an unboundedness and porousness among the pieces. The art essays, articles, field reviews, and conversations converse, dance, and harmonize with... (shrink)

Citrate, an organic trivalent anion, is a major substrate for generation of energy in most cells. It is produced in mitochondria and used either in the Krebs' cycle or released into cytoplasm through a specific mitochondrial carriers. Citrate can also be taken up from blood through different plasma membrane transporters. In the cytoplasm, citrate can be used ultimately for fatty acid synthesis, which is increased in cancer cells. Here, we review the ways in which citrate can be transported and discuss (...) the changes in transport and metabolism that occur in cancer cells. The primary focus is on the prostate gland, which is known to produce and release large amounts of citrate during its normal secretory function. The significant changes that occur in citrate‐related metabolism and transport in prostate cancer are the second focus. This review strives to relate these mechanisms to molecular biology on the one hand and to clinical applications on the other. (shrink)

abstract It is standardly taken for granted in the literature on the morality of abortion that adoption is almost always an available and morally preferable alternative to abortion — one that does the same thing so far as parenthood is concerned. This assumption pushes proponents of a woman's right to choose into giving arguments that are based almost exclusively around the physicality of pregnancy and childbirth. On the other side of the debate, the assumption that adoption is a real alternative (...) seems to strengthen the contention that a woman who wishes to abort is morally deficient, whatever the status of the foetus: that she is selfish or short‐sighted in her refusal to bear the temporary physical burden of pregnancy. In this article, I will argue that adoption is not a genuine alternative to abortion. It does not ‘do the same thing’, even setting aside the physicality of pregnancy. I will show that on the most successful model of parental obligation — a causal account that formalises the distinction between parent: progenitor, and parent: carer — birth mothers and fathers remain obliged, life‐long, to their birth children even when the child is adopted out. (shrink)

Emerging research suggests that an organization’s ability to sustain a competitive advantage is increasingly linked to its successful pursuit of a business strategy that generates mutual benefit where the business is both profitable and functional for the common good. The question remains, however: What are the attributes of decision makers that enable them to realize mutually beneficial outcomes? This dissertation argues that one critical key to solving this question is a better understanding of moral imagination in organizational decision making. To (...) test this hypothesis, a new vignette-based cognitive measure for moral imagination in organizational decision making was created to explore empirically the relationship between moral imagination and mutually beneficial decision making. Overall, findings from 180 respondents supported the hypothesis that individuals, who exercise moral imagination, including the ability for discerning moral issues and developing a range of possible outcomes during the decision-making process, are indeed more likely to generate a mutually beneficial outcome for a situation compared to those who do not exercise moral imagination. Implications and directions for future research are discussed. (shrink)

We have never been so aware of masks. They were in short supply in the early days of COVID-19, resulting in significant risk to health care workers. Now they are highly politicized with battles about mask-wearing protocols breaking out in public. Although masks have obtained a new urgency and ubiquity in the context of COVID-19, people have thought about both the literal and metaphorical role of masks in medicine for generations. In this paper, we discuss three such metaphors—the masks of (...) objectivity, of infallibility, and of benevolence—and their powerful role in medicine. These masks can be viewed as inflexible barriers to communication, contributing to the traditional authoritarian relationship between doctor and patient and concealing the authenticity and vulnerability of physicians. COVID masks, by contrast, offer a more nuanced and morally complex metaphor for thinking about protecting people from harm, authentic and trustworthy communication, and attention to potential inequities both in and beyond medical settings. We highlight the morally relevant challenges and opportunities that masks evoke and suggest that there is much to be gained from rethinking the mask metaphor in medicine. (shrink)

The target of my discussion is intuitions lay people have about justice in the context of drug policy—intuitions that take on a more or less moral-desert-based shape. I argue that even if we think desert is the right measure of how we ought to treat people, we ought still be in favour of Harm Reduction measures for people who use drugs. Harm Reduction measures are controversial with members of the public, and much of the opposition seems to come from something (...) like an appeal to a desert conception of justice—the notion that a just state of affairs is one in which everybody gets what they deserve, no more, no less. A recent study, for example, found that ‘moral outrage’ predicts a preference for prevalence reduction over Harm Reduction. The thinking seems to be that, since drug use is wrong, letting people who use drugs suffer and/or die as a consequence of their use is just. Aiding their health and safety, while perhaps compassionate, is unjust. I argue that there is a bad desert fit between using drugs and suffering avoidable harm even if using drugs is morally wrong. Many of the possible harms of drug use are socially/policy driven, and much problematic drug use is context dependent, not cleanly attributable to the decisions of the person who uses drugs. This means that even if drug use is wrong, people who use drugs deserve Harm Reduction policies, at minimum. (shrink)

As someone diagnosed with severe chronic mental illness early in my adolescence, I have spent over half of my life feeling out of step with the rest of the world due to hospitalizations, treatment programs, and the disruptions caused by anxiety, anorexia, depression, and obsessive–compulsive disorder. The effect of my mental health conditions compounded by these treatment environments means I often feel that I experience time passing differently, which results in sensations of removal and isolation from those around me. The (...) global shutdown caused by the COVID-19 pandemic seemed a way for normative bodies to experience the passing of time the way I always have. In this paper, I extend Dr. Sara Wasson’s analysis of the ways in which chronic pain resists narrative coherence to my own temporal experience of chronic mental illness, specifically my embodied experience of the pandemic. I use that embodied experience as a case study for examining how the reciprocal nature of time and narrativity, as outlined by Dr. Paul Ricoeur, can create isolation for those struggling with their temporality due to chronic mental illness. To acknowledge and grapple with the ramifications of discursive and material privilege involved in such situations, I include an analysis of Robert Desjarlais’s 1994 article “Struggling Along: The Possibilities for Experience among the Homeless Mentally Ill,” in which he investigates a similar phenomenon of being outside of structured sequential narrative time in the residents of a Boston shelter for the mentally ill. (shrink)