L'édification spatio-temporelle dont se sert un observateur isolé pour représenter ses résultats de mesures comporte la construction d'un espace physique qui, quoique non catégorique, est applicable sur l'espace euclidien à trois dimensions. Aucun argument ne permet de décider si l'espace est euclidien ou non euclidien. Les expériences permettent seulement à l'observateur d'affirmer que l'espace est pratiquement euclidien en son voisinage.

Si le substantif intellectuel peut se féminiser sans provoquer la colère des Académicien/ne/s et si l’on reconnaît volontiers dans la vie courante que les femmes sont plus « intellectuelles » que les hommes – par leur lien privilégié avec la lecture notamment –, il n’en va pas de même dans l’historiographie et dans le débat médiatique. Suffit-il d’ajouter une syllabe – muette – pour qu’apparaisse une nouvelle configuration? S’il est arrivé que quelques-unes unes, comme Mme de Staël, Simone d...

Quel type d'expérience faisons-nous quand " nous regardons un film "? Bien que cette formule consacrée ne prenne pas en compte la complexité du voir/entendre spectatoriel, elle souligne néanmoins une forme d'équivocité à propos de ce qu'on " regarde ", comme de ce qui est ainsi mis en jeu. Le présent essai s'efforce de rendre compte des différentes modalités d'appréhension d'un film par le spectateur. L'auteure a choisi de travailler au plus près de la texture filmique en analysant de courts (...) extraits de films. (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..

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)

" Les romans devraient être interdits par l'État " selon le professeur Kien, savant solitaire dans " Auto-da fé " d'Elias Canetti. En quoi la littérature est-elle dangereuse? Elle ne connaît de vérité que de passage. Elle se plaît à décliner les formes changeantes que l'imagination fait percevoir ou disparaître. Le charme qu'elle exerce menace ainsi l'identité. S'il est une séduction littéraire, elle réside dans l'invention d'une subjectivité impersonnelle: on ne parle pas de soi en littérature. Écrire procède d'un effort (...) exceptionnel pour sortir du carcan de la personne, briser le miroir, s'évader de la psyché en faisant résonner, dans et par le style, une parole défigurée. L'autofiction se situe aux antipodes de l'enjeu littéraire majeur, lorsqu'elle prend la forme d'un déballage des émois dérisoires qui composent une vie. Dès lors, notre réflexion relève d'un double défi : extraire la littérature de la gangue du savoir critique qui risque de l'asphyxier sans que le refus de l'objectivité ne coïncide avec un retour au mirage de l'expression de soi. Cette défense et illustration du pouvoir des fables implique un regard déniaisé sur le plaisir de l'imagination. La fiction ne demande pas un " oui " servile, adhésion à un monde cohérent qui comblerait les fissures de la réalité ; elle fait éprouver jusqu'au vertige de l'idée inattendue, dans l'exploration de mondes logiquement autonomes. Déployant une pensée déconcertante, la fiction met la raison à la question, égarée au-delà des terres familières de l'argumentation. Détournons la voix du poète : " Vous qui entrez ici, abandonnez toute espérance " ; la littérature est enfer pour l'esprit de sérieux qui s'y effraie, s'accrochant à son identité, faute de tenter la quête de soi. La passion littéraire commence par l'abandon de réponses dépassées en vue d'une imagination en liberté, déculpabilisée. À l'heure où tout le monde prétend raconter sa vie et la publier, comptons que ce livre, réveillant le questionnement, servira la force littéraire, invitation à lire et écrire des livres dignes d'être brûlés. (shrink)

There are many things we cannot see but know are there: the sun at night, the flower in the seed, birds inside their eggs--and so it is with God's presence.

BackgroundIn the context of limited health care budgets in countries where Neglected Tropical Diseases (NTDs) are endemic, scaling up disease control interventions entails the setting of priorities. However, solutions based solely on cost‐effectiveness analyses may lead to biased and insufficiently justified priorities.ObjectivesThe objectives of this paper are to 1) demonstrate how a range of equity concerns can be used to identify feasible priority setting criteria, 2) show how these criteria can be fed into a multi‐criteria decision‐making matrix, and 3) discuss (...) the conditions under which this decision‐making procedure should be carried out in a real‐world decision‐making context.MethodsThis paper draws on elements from theories of decision analysis and ethical theories of fair resource allocation. We explore six typical NTD interventions by employing a modified multi‐criteria decision analysis model with predefined criteria, drawn from a priority setting guide under development by the WHO. To identify relevant evidence for the six chosen interventions, we searched the PubMed and Cochrane databases.DiscussionOur in vitro multi‐criteria decision analysis suggested that case management for visceral leishmaniasis should be given a higher priority than mass campaigns to prevent soil‐transmitted helminthic infections. This seems to contradict current health care priorities and recommendations in the literature. We also consider procedural conditions that should be met in a contextualised decision‐making process and we stress the limitations of this study exercise.ConclusionBy exploring how several criteria relevant to the multi‐facetted characteristics of NTDs can be taken into account simultaneously, we are able to suggest how improved priority settings among NTDs can be realised. (shrink)

This is an open access title available under the terms of a CC BY NC ND 4.0 International license. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations. In Contentious Minds, Florence Passy and Gian-Andrea Monsch explain how cognitive and relational processes allow activists participate in and sustain their commitment to activism. Based on a wide array of survey and interview data with activists engaged in (...) protest, volunteering and unions, they highlight how a commitment community develop shared values, identities, and meanings through interaction. (shrink)

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)

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)

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)

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.].

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)

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)

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)