In this study we compared the ethical attitudes of a group of experienced, predominantly female, registered nurses (n = 67) with those of a group of final year, mixed sex, medical students (n = 125). The purpose was to determine the basis of differences in attitudes that could lead to ethical disagreements between these two groups when they came to work together. A questionnaire developed to explore ethical attitudes was administered and the responses of the two groups were compared (...) using t-tests. Because of the preponderance of females among the nurses an analysis of variance of the gender-adjusted scores for each group was also carried out. On comparing the responses, the nurses differed significantly from the medical students in a number of ethical domains. A potential source of conflict between these two groups is that the nurses were inclined to adopt the perspective of patients but the medical students identified with their profession. When corrected for the effects of gender, the differences persisted, indicating that it was discipline that determined the differences. We recommend that students of nursing and medicine receive ethics education together, and that more open dialogue between doctors and nurses with respect to their different ethical viewpoints is needed in the work setting. This article will be of interest to educators of students of medicine and nursing, as well as to doctors and nurses who are eager to improve their professional relations and thereby improve patient care. (shrink)

The text argues against the Stoics that the soul is incorporeal and is not in a subject. Pages 127–50 of the Greek text are concerned with vision and reject the different theories of the pre-Socratics. The last part explains how seeing comes about according to Aristotle. Alexander then passes to a study of man’s basic inclinations and of virtue, correcting views of the Stoa. With thirty-seven arguments he shows that virtue alone is not enough for happiness and also reminds the (...) reader that female and male are not different species. The closing sections on luck and fate are preceded by an interesting consideration of what depends on us, that is, those things about which we deliberate. The paragraph on luck sets forth Aristotle’s doctrine of Physics 2; the pages on fate bring together material from Alexander’s De fato: what is in accordance with fate is in accordance with nature. (shrink)

Three female physicians were interviewed as part of a comprehensive investigation into the narratives of female and male physicians and nurses, concerning their experience of being in ethically difficult care situations in the care of elderly people. The interviewees expressed great concern for the low status of care for elderly people, and the need to fight for the specialty and for the care and rights of their patients. All the interviewees’ narratives concerned problems relating to perspectives of both (...) action ethics and relational ethics. The main focus was on problems concerning the latter perspective, expressed as profound concern and respect for the individual patient. Secondary emphasis was placed on relationships with relatives and other professionals. The most common themes in an action ethics perspective were too little treatment and the lack of health services for older patients, together with overtreatment and death with dignity. These results were discussed in the light of Løgstrup’s ethics, which emphasize that human life means expressing oneself, in the expectation of being met by others. Both Ricoeur’s concept of an ethics of memory and Aristotle’s virtue ethics are presented in the discussion of too little and too much treatment. (shrink)

This paper presents a qualitative study investigating the application of physiotherapists’ professional ethics in practice with respect to touch, intimacy, and corporeality during therapy, based on the experiences of elderly patients. As the relationship in a physiotherapy session is multidimensional, the study considered three levels: physical contact, verbal contact, and the conditions in which the therapy took place. The aim of this study was to find out what values are of importance to older people during a physiotherapy session, with emphasis (...) on the categories of touch, corporeality, and intimacy. The studied group consisted of sixteen male and female physiotherapy patients aged between sixty-six and ninety-two years. The study was conducted according to the grounded theory methodology. The research material consisted of transcriptions of free targeted interviews, which were subjected to a process of coding and analysis. As a result of data analyses, three superior categories have been identified—safety, anxiety, interpersonal relationship—and three a priori categories stemming from the characteristic features of the study area—touch, corporeality, and intimacy. The a priori categories did not appear independently in statements made by the respondents, but instead seemed to be components of superior categories. The most important values indicated by the respondents concerned the interpersonal relationship with their physiotherapist and the feeling of safety and care. In terms of touch, corporeality, and intimacy, the respondents indicated, among others, the importance of predictability, a sense of security, privacy, and acceptance of the body. (shrink)

The current research aims to prove the impact of resilience on sleep quality and to investigate the mediating function of perceived stress in the paths from resilience to sleep quality among disabled Chinese elders. The participants were 196 elders with visual and physical disability who resided in the nursing houses in Shanghai, including 102 males and 94 females whose mean age was 74.5 years old. All the elders were measured with the 10-item Connor-Davidson Resilience Scale, Pittsburgh Sleep (...) Quality Index, and Perceived Stress Scale. The results showed that all the demographic variables were significantly related to perceived stress and PSQI scores. High levels of resilience could significantly enhance the quality of sleep in disabled Chinese elders. In addition, the two-step mediation models also confirmed the impact of resilience on sleep quality as mediated through perceived stress in this special aged population. Better knowledge on the mechanisms of sleep quality among older adults could benefit the prevention and treatment of some geriatric diseases. (shrink)

This article studies the participation of a group of elder females in a local health promotion association. The research is based on fieldwork carried out between 2004 and 2007 in an Andalusian agro-town. Drawing on ethnographic data collected, the participation of the women in the association and its influence on and significance for them are examined in terms of sociability, the public sphere and empowerment. The association serves as a special space for these women, who have highly gendered roles and (...) thus a limited social sphere. It encourages them to have their own relationships, time and space. Their participation in the association promotes a consciousness of their particular needs and brings new interests into their lives. (shrink)

This observational study analyzes the impact of Internet use on the quality of life and well-being of the elderly. Specifically, it seeks to understand and clarify the effects of Internet use on relationships in terms of self-esteem, life satisfaction and online and offline social support in a sample of senior and elderly Italian people (over 60 years of age). A cohort of 271 elderly people (133 males, 138 females) aged between 60 and 94 years old participated in the study: 236 (...) were Internet Users while the other 35 were Non-Internet Users. The results showed that the time elderly people spend online has a negative effect on their perception of Offline Social Support (Offline Emotional and Informational, and Offline Affective Social Support) and a positive effect on their perception of Online Social Support (particularly on Online Positive Social Interactions). Surprisingly, Internet Use among elderly people seems to impact positively on the perception of Offline Social Support. Indeed, Elderly Internet Users have a more positive perception of Offline Social Support (particularly Offline Positive Social Interactions and Offline Affective Social Support) than Non-Internet Users. A discussion of this finding is provided, positing that the Internet seems to represent the technological side of a functional organ that allows the elderly to stay in closer touch with their family and friends, and in doing so to also overcome some age-related difficulties. (shrink)

The call for family and medical leave reform in the United States was largely the result of sweeping demographic shifts that occurred in the workforce after the 1950s, coupled with an ever-increasing life expectancy and changing social norms concerning the role of women as caretakers. By the early 1990s, the number of women in the workforce had nearly tripled from 1950. During that same period, life expectancy increased by six years for males and seven for females. Meanwhile, the first wave (...) of the Depression-era generation began to reach the age of retirement. In short, the parents of American workers were living longer and retiring in greater numbers while more women, who were more likely to be informal caregivers, decided to join the workforce. As a result, many families with ill or elder parents began to turn to institutional long-term care. (shrink)

With the accelerating aging of the population and the worsening psychological conditions of older people, the traditional mode of family support for the elderly in China does not always meet the physical and psychological needs of the elderly, and more social support modes for the elderly are needed. Based on 3,513 valid questionnaires on the long-term care and protection needs of Chinese residents, this paper uses a logit regression model to analyze the factors influencing the willingness of the elderly to (...) choose nursing care. The results show that intergenerational family support for the elderly is a significant psychological driver on the willingness of the elderly to choose nursing care. Compared with the elderly living with family, empty nesters or older people living alone are more inclined to select nursing care when they have difficulties taking care of themselves. The physical health of the elderly affects their willingness to choose nursing care, and elderly individuals with more hospitalizations are less likely to select nursing care. In addition, elderly females who are relatively young, have a high level of education, have a high income, have a nursing home near the residence, and are already covered by medical insurance are more willing to choose nursing care. The results of this study are of great importance for improving the medical services and aging care services for the elderly and providing theoretical support for alleviating the psychological and social pressure brought by population aging. (shrink)

In this study caring is shown to be a membershipbound activity to kin and gender categories with strong moral connotations. Being a daughter or being a son are good enough reasons for becoming a caregiver, more so for women than for men. Caregivers were interviewed within the research project The role of women in family care of disabled elderly conducted by the Social and Economic Research Department of INRCA, Ancona, Italy. Transcripts of the interviews were analyzed through a detailed discourse (...) analysis within an ethnomethodological framework. Interview data are treated as interactional encounters that occasion members to display relevant aspects of their identities and morally adequate images of being a caregiver. In the interview interaction, interlocutors display an orientation towards the production of a moral order in which duty and responsibilities are allocated on the basis of gender distinction. Males are generally described as not being responsible for caring tasks, except for situations in which females are absent or sick, that is, for serious reasons. Caregivers'' perception of time dedicated to caring is pervasive. Most caregivers said it occupied all their time, but gender differences were noticeable. Caring tasks are recognized as gender specific practices, thus failing to carry out these tasks is morally sanctionable when women are involved, but not so for men. Many caregivers described caring for older relatives as an intense source of stress, involving serious physical and psychological problems. The study on moral and identity issues related to caregiving highlights endangering constructions of caring. (shrink)

: This article will focus on the role of women in three red power events: the occupation of Alcatraz Island, the Fish-in movement, and the occupation at Wounded Knee. Men held most public roles at Alcatraz and Wounded Knee, even though women were the numerical majority at Wounded Knee. Female elders played a significant role at Wounded Knee, where the occupation was originally their idea. In contrast to these two occupations, the public leaders of the Fish-in movement were (...) women—not an untraditional role for women of Northwest Coastal tribes. (shrink)

This article will focus on the role of women in three red power events: the occupation of Alcatraz Island, the Fish-in movement, and the occupation at Wounded Knee. Men held most public roles at Alcatraz and Wounded Knee, even though women were the numerical majority at Wounded Knee. Female elders played a significant role at Wounded Knee, where the occupation was originally their idea. In contrast to these two occupations, the public leaders of the Fish-in movement were women-not (...) an untraditional role for women of Northwest Coastal tribes. (shrink)

A great deal has been learned in the past fifteen years from the study of pain mechanisms. More recently, the relief of pain has begun to receive much needed attention as well. Although most, if not all, acute and cancer pain can be relieved, recent evidence shows that inadequate treatment of pain is still common among the general population—even for pain due to cancer. Inadequate treatment of cancer pain is even more likely if the patient is a member of an (...) ethnic minority, female, elderly, or a child. Evidence also suggests that substance abusers are at risk for poor pain treatment.A number of barriers which involve problems of knowledge, attitudes, and laws and regulations affect health care professionals, patients, and the health care system; collectively, they contribute to the inadequate treatment of pain. (shrink)

The focus of this article will be on inserting the words of older women in prison into debates on time, agency and gendered identities in total institutions. Specifically, the article will address the complexity and contradictions of the time of ‘a mediated real’, and how this impacts on embodied identities within prison timescapes. This will be explored through looking at how prison-time as a ‘somatic identity cipher’ functions performatively in the construction of older women’s identities. The article will also examine (...) how female elders in prison become agents and negotiate techniques of discipline. The role of prison-time will be shown to be simultaneously experienced as further punishment while also being resisted as we draw out the relationship between temporality, spaces of incarceration and identification. First, we will locate the field in terms of issues of theory and method. Then we will look at performativity, identity and time in negotiating, acquiescing to and resisting the identity ‘prisoner’. This will enable us to understand the role and meaning of time in relation to how females in prison are compelled to reiterate and negotiate the identity ‘prisoner’ within the discipline of ‘the time of incarceration’. We hope to demonstrate through the voices of the women that there is no single abstract imprisoned body. These are real bodies, fleshy, sensate bodies that experience real pain; at the same time, these bodies are not simply given but also interpreted, mediated and in part constituted in social and cultural meanings. This enables us to show that the body can be both a generator and receptor of meanings. (shrink)

SummaryDuring famines females generally have a mortality advantage relative to males, and the highest levels of mortality occur in the very young and the elderly. One popular hypothesis is that the sex differential in mortality may reflect the greater body fatness combined with lower metabolism of females, which may also underpin the age-related patterns of mortality among adults. This study evaluated the ‘body fat’ hypothesis using a previously published and validated mathematical model of survival during total starvation. The model shows (...) that at a given body weight females would indeed be expected to survive considerably longer than males in the absence of food. At a mass of 70 kg for example a female aged 30 would survive for 144 days compared with life expectancy of only 95 days for a male of the same age and weight. This effect is contributed to by both the higher body fatness and lower metabolism of the females at a given body weight. However, females are generally smaller than males and in addition to a sex effect there was also a major effect of body size – heavier individuals survive longer. When this body size effect was removed by considering survival in relation to BMI the sex effect was much reduced, and could be offset by a relatively small difference in pre-famine BMI between the sexes. Nevertheless, combining these predictions with observed mean BMIs of males and females across 48 countries at the low end of the obesity spectrum suggests that in the complete absence of food females would survive on average about 40% longer than males. The energy balance model also predicted that older adult individuals should survive much longer than younger adult individuals, by virtue of their lower resting metabolic rates and lower activity levels. Observations of the female survival advantage in multiple famines span a much wider range than the model prediction. This suggests in some famines body fatness may be a significant factor influencing the mortality differential between the sexes, but in other famines other factors are likely to be more important. Moreover, the pattern of mortality in relation to age is completely opposite that predicted. These data emphasize the complex nature of famine mortality and suggest that a simple model of energy utilization alone is inadequate to explain the major aspects of this phenomenon. (shrink)

Witch-hunting is a global concern in contemporary times for its serious violation of human rights and gender discrimination. In witch-hunt, although, both male and female are accused as witches, it is women who are targeted more as witches. The paper through the lens of semiotics, examines the law and gender issues in context of witch-hunting that is prevalent across cultures such as Africa and India. In this regard, it examines how law reacts to semiotics of cultural meaning of ‘witch’ (...) and practices of witchcraft in context of India. Are the laws exercised uniformly across cultures in context of witchcraft accusations? The paper argues that in deciding a case, the laws are interpreted by the community with shared meanings and assumptions on the concepts of witch and witch-hunt. The paper based on the fieldwork on witch-hunting cases in districts of Kokrajhar and Chirang in Assam, in India among the Bodos and Santhals communities; attempts to examine the efficacy of anti witch hunt laws. Firstly, it analyses the motive behind the introduction of witch-hunt laws in colonial India. It examines whether the British laws were accepted or rejected by the indigenous communities. Secondly, post-independence, anti-witch-hunt laws were passed in different states of India including Assam to tackle witch-hunts. Thirdly, the paper discusses the efficacy of anti-witch-hunt laws in Assam by examining at two levels: the execution of law and community perception of law. The laws are executed if there has been death in witch-hunting. In cases, where there are no deaths, the justice focuses on restorative justice and paternalistic advice by officials, village elders as the authority of the village. There are observations on how higher officials believe witch-hunt is an act of superstition whereas the lower rank officials belonging to local community executes the order but hold the beliefs in witchcraft as real. In earlier times, the community perceived witch-hunting as socially sanctioned violence and used social boycott as form of social control on the alleged witch. It is due to taking the matter into their hands, there were highest unreported cases of witch-hunting. However, the irony is that according to anti-witch hunt law, now, the community feels that the accuser or perpetrator is the accused in the eyes of the law and the victim of witchcraft accusations is protected by the law. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Ovid: Dichter und WerkWilliam S. AndersonNiklas Holzberg. Ovid: Dichter und Werk. Munich: C. H. Beck, 1997. 218 pp. Cloth, DM 48, SFr 44.50, ÖS 350.Looking at the dust cover of this volume, which features a Pompeiian wall painting with an impetuous satyr tightly grasping a nude, buxom, and resistant female, a reader might be led to expect a conventionally shallow literary biography of Ovid, the poet of (...) erotic enjoyment. Probably Holzberg had nothing to do with the choice of the cover, which was designed only to attract buyers. If he did, he would have been ironically aware of the surprises he had in store for unsuspecting readers: there is little in this book to excite the average modern satyr. Instead of titillating his audience with erotic images, Holzberg focuses our attention on the elegiac system, from which, as he shows, the poet Ovid ingeniously worked.The reader receives warning in the foreword, where Holzberg says little about the historical personage Ovid but directs us instead to the variety of roles the poet Ovid developed in his different works. It is these roles that have familiarized us with Ovid, not the historical facts that have accumulated around him [End Page 651] outside his poems. Holzberg declares, then, that he wishes to read Ovid’s poetry as “novels,” that is, as fictional accounts by a fictional speaker who uses the first person.Before proceeding to the poetic works in chronological order, Holzberg devotes two important introductory chapters to discussing his approach first to the work, then to the poet. That of course reverses the order of his subtitle, but by way of correction: this writer and this book are primarily interested in the poetry that Ovid created and that we can still critically read: the poet is far more problematical. So we start with a paradox: our present time is an Ovidian Age (aetas Ovidiana), as was the era in cultivated Western Europe about a thousand years ago. We probably read Ovid today as well as, if not better than, the people who rushed to multiply Ovidian manuscripts in that previous era. However, the question is: do we read and hear Ovid with the awareness of those original Roman audiences, nearly a millennium earlier, who enjoyed what we may consider the first aetas Ovidiana, when Ovid himself was present to register his amazing effects in Rome (and to recall them fondly in exile)? The answer that Holzberg produces is: no, we don’t read Ovid as a Latin audience; instead, we pick out what makes him like us, modern. To read his works as Holzberg wants, then, we must first grasp the features which belong to the doctus poeta. Ovid was what Holzberg calls “a poet between texts” (a clever variation on Fraenkel’s famous phrase for Ovid, “a poet between two worlds”). That stresses the literary practice of intertextuality rather than the cultural interrelationships that occupied Fraenkel and his contemporaries. It also justifies the role of Holzberg, who steps in to help the helpless “modern reader” and to explain some of the key intertexts that functioned directly for Ovid’s first audiences. Similarly, a modern reader needs to step back from the trap of the plausibly witty story that Ovid’s first-person speaker narrates, to appreciate the conventions with which the poet ably plays for the amusement of his well-read audiences; and this means understanding what Holzberg calls the “elegiac system,” which serves as the basis of all Ovid’s work. Recognizing the fundamental elements of the system, we can see better how he modifies and innovates with familiar material, whether it is a form like that of the exclusus amator or the interesting variations he creates on the “slavery of love.”Holzberg’s approach to Ovid the poet is deliberately skeptical. Our only contemporary “evidence” about him is the dubious and fictional series of details and events which emerge from the mouth of the “speaker” in the poems. Holzberg distrusts even the prodigious memory of Seneca the Elder. And it is notable that Tacitus, who had the opportunity of giving Ovid an obituary around A.D. 17, in what survives of the... (shrink)

Study of the visual, material, and textual sources of elements shaping images of women in the Latin East provides a context for investigating how communicative strategies applied in the representation of women articulate and interact across artistic, social, historical, cultural, and spiritual dimensions. To what extent do these phenomena conform to gender norms? The case studies underlying this analysis come from present-day Lebanon as they relate to preserved twelfth- and thirteenth-century female depictions found in wall paintings from Mar Sharbel (...) the Elder in Maad, Saydet el-Rih in Enfeh, and the National Museum of Beirut. These depictions situate these women dynamically in the region’s cultural and artistic landscape, as well as in the social fabric of their time. (shrink)

The past two centuries have been an extraordinary era for criticism and reform of institutions and social practices. Unprecedented egalitarian and humanitarian movements have arisen to protest and improve the condition of victims of every variety of evil, personal and impersonal, natural and social. The beneficiaries of these movements belong to all manner of groups: racial, ethnic, and religious minorities, the poor, the insane, the orphaned, the handicapped, the homosexual, the young, the elderly, the female, the animal, the unborn, (...) and so on. Many of these movements had few followers and fewer victories until deep into this century, but most had precursors in the last century, which challenged the moral legitimacy of accepted practices. (shrink)

This study analyzes the most important predictors of acceptance of social network sites in a sample of Chilean elder people. We employ a novelty procedure to explore this phenomenon. This procedure performs apriori segmentation based on gender and generation. It then applies the deep learning technique to identify the predictors by segments. The predictor variables were taken from the literature on the use of social network sites, and an empirical study was carried out by quota sampling with a sample size (...) of 395 older people. The results show different predictors of social network sites considering all the samples, baby boomer males and females, silent males and females. The high heterogeneity among older people is confirmed; this means that dealing with older adults as a uniform set of users of social network sites is a mistake. This study demonstrates that the four segments behave differently, and many diverse variables influence the acceptance of social network sites. (shrink)

The dominant view of women has changed radically during the last century. These changes have had an important impact on the way of life of women in general and, undoubtedly, on women as patients. So far, gender differences have received little attention when developing healthcare services. Stroke hits a great number of elderly women. Wyller et al. found that women seemed to be harder hit by stroke than men; they achieved lower scores in tests of motor, cognitive and ADL functions, (...) both in the acute phase and 1 year after stroke. It is reasonable to expect that differences in outcome among male and female sufferers may in part be explained by the fact that rehabilitation services are designed primarily to meet the needs of men. de Beauvoir's feminist theory maintains that one's body is fundamental in creating the person, which is a lifelong process. Traditionally, the female body has been exposed to alienation and oppression through life. This has led women to develop a life in immanence. This we feel can be of significance in connection with rehabilitation after a stroke, particularly for elderly women. In this article we will discuss how de Beauvoir's theory can throw new light on the experiences and rehabilitation of elderly women and point to ways of improving the process of rehabilitation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Enigmatic Lady PudentillaVincent HuninkRoman literature, like Roman society in general, was dominated by males. From this “men’s world” only a few women seem to stand out as individuals. Hence it is not surprising that whenever a Roman text presents a marked female personality, the relevant data from the text are readily used by scholars to reconstruct her biography.This is certainly the case for Aemilia Pudentilla, the wife (...) of the famous orator and Platonic philosopher Apuleius of Madauros, who lived in Africa in the third quarter of the second century a.d. Between the lines of his extant speech Pro Se de Magia, commonly known as the Apology, Apuleius seems to provide much information about his wife. And in fact, we do not know, about any other woman from this period and this province, even approximately as much as we know about Pudentilla.Thus Pudentilla has become quite popular among modern historians of her place and time, perhaps even more so than her husband. She appears in many studies on the social and economic history of the Roman Empire.1 In 1992 Andreas Gutsfeld devoted a lengthy article expressly to her, in which he attempted a reconstruction of her manifold possessions and her commercial activities, in the context of the economic mentality of the upper class to which she belonged. Even more recently, Elaine Fantham (1995) has attempted to correct Apuleius’ picture of his wife and to examine the situation from Pudentilla’s point of view.Relevant and interesting as these approaches may be, some caution seems due here. It must be realized that we know absolutely nothing about Pudentilla from any other, independent source: every single detail is derived from Apuleius’ speech. More important, however, is [End Page 275] that the Apology is not an official document but a judicial speech, which is, moreover, characterized by a strongly literary color. Historians have not always taken these special circumstances sufficiently into account.Discussion below reviews the most important pieces of information about Pudentilla provided by the text and considers them in relation to the aims and strategies of the speaker. In the end, this will prove to be of some consequence for the portrait of Pudentilla.There is a crucial problem concerning her, which lies at the heart of the speech. Apuleius’ opponents have suggested that she must have been out of her mind to agree in marrying the much younger, impoverished philosopher Apuleius. Under the influence of magical powers, so they suggested, she was robbed by Apuleius of a great capital (e.g., 67.4).2 He, on the contrary, asserts that she had rational, sensible, and practical arguments to marry him, and that she lost no money to him. So we immediately see two conflicting images of Pudentilla: she is considered either as a bewitched hysteric or as a prudent and responsible lady. Who is the real Pudentilla?Hard FactsAn entirely reliable answer to this question will always remain out of reach, since we only have Apuleius’ account to go by. Nonetheless, in practice some pieces of information may be taken or inferred from his text. Surely, it contains some elements which seem beyond reasonable doubt.First, the “previous history” to the marriage, as presented by Apuleius at 66–73, seems clear and plausible.Apuleius says that he was a friend of Pontianus, Pudentilla’s elder son. On his way to Alexandria, he fell ill in the town Oea, where Pontianus lived. He was forced to stay there for the winter, and there he met Aemilia Pudentilla. She had been a widow for fourteen years by then. From her marriage to Sicinius Amicus she had two sons, Pontianus and Pudens. The boys’ grandfather was legally in charge of them and, moreover, could decide on the inheritance of their father. Being well [End Page 276] aware of this, he put pressure on Pudentilla to marry his second son. Pudentilla, however, had rejected that idea and remained a widow. Only after this grandfather’s death had she become freer to act, as Pontianus had become the legal tutor of his younger brother. She then decided she would remarry, mainly for specific, medical reasons. Pontianus offered... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Everyday Utopia: What 2,000 Years of Wild Experiments Can Teach Us About the Good Life by Kristen R. GhodseeMark A. AllisonKristen R. Ghodsee. Everyday Utopia: What 2,000 Years of Wild Experiments Can Teach Us About the Good Life. New York: Simon & Schuster, 2023. 352 pp., hardcover, $29.99. ISBN 9781982190217.Kristen R. Ghodsee has written a wide-ranging, highly readable, and commendably radical vindication of utopian thought and experimentation. Everyday (...) Utopia is aimed at the educated lay reader—itself, perhaps, a utopian projection—rather than specialists. Nevertheless, all but the most erudite and cosmopolitan of scholars will encounter unfamiliar and compelling utopiana within its pages. While her earlier book, Why Women Have Better Sex Under Socialism: And Other Arguments for Economic Independence (2018), concentrated on "state-sponsored solutions" to the deprivations of capitalism and patriarchy, the present volume sets its sights squarely on the private sphere, and utopian visions "for rearranging our domestic lives" (17).Ghodsee situates this turn to the domestic in two contexts. The first is the COVID-19 pandemic, which revealed the frangibility of the international commitment to gender equality. "Women around the globe woke up and realized that decades of feminism had done little to reverse the social expectation that mothers, sisters, wives, and daughters should provide care for young children, elderly parents, and sick relatives, as well as perform the emotional labors that hold families together in times of crisis," she laments (xii). Everyday Utopia's second context is the spate of recent works of "popular neo-utopianism," including Rutger Bregman's Utopia for Realists (2017), Aaron Bastani's Fully Automated Luxury Communism (2019), and Peter Diamandis and Steven Kotler's Abundance: The Future is Better Than You Think (2012) (14). What Ghodsee finds wanting in this discourse is its myopic focus on the public sphere, and its unspoken presupposition that our private and domestic lives have no such need of utopian renovation. But it is just this presupposition [End Page 285] that the COVID-19 lockdown discredited, although many other indicators (runaway housing and childcare costs, the environmental crisis, the epidemic of loneliness) already suggested as much. Ghodsee rightly insists that "where we reside, how we raise and educate our children, our personal relationship to things, and the quality of our connections to friends, families, and partners impact us as much as tax policies, the price of energy, or the way we organize formal employment" (14). As utopian thinkers from Plato forward have understood, moreover, it is short-sighted to suppose that sweeping economic and political transformations are possible without a concomitant rethinking of the "intimate worlds" that subtend these public domains (15).Accordingly, Everyday Utopia devotes its succeeding chapters to examining alternatives to the dominant institutions of the contemporary private sphere, including the single-family household, the monogamous couple paradigm of childrearing and mating, and the institution of private property. In each case, Ghodsee plumbs the past and limns the present to highlight utopian alternatives to contemporary norms. Among this book's greatest strengths is its consistently international range of examples and admirably sustained commitment to feature "experiments that have received relatively less attention" in the extant literature (xv).Take, for example, the chapter on communal alternatives to single-family homes. Ghodsee includes many of the usual (and eminently worthy) suspects: Buddhist and Christian cenobite monasteries, Fourierist phalansteries, Israeli kibbutzim, and the Corbusier-inspired "microdistricts" of the former Eastern bloc (47). But we also learn of less canonical phenomena, such as the Neolithic proto-city of Çatalhöyük, "one of the first major settlements in the world," where as many as eight thousand people lived in an essentially contiguous structure, in highly egalitarian and likely non-consanguineous households (32). Or consider the Beguine nuns, a lay order founded in 1190 that survived, albeit in attenuated form, into the twentieth century. The Beguine lived communally in urban areas, enjoying liberties unthinkable not only to their cloistered counterparts, but to virtually all their female contemporaries: they brewed beer, made lace, taught school—and traversed the streets unchaperoned. The chapter concludes with a discussion of contemporary cohousing. In Denmark, roughly one percent of the population was living in co... (shrink)

Research on migrant care and domestic workers has focused on their multiple dislocations and exclusions in the diaspora, analysing a highly gendered global economy of care and domestic work. This article investigates the role of ritual performance and spirituality in female care workers’ projects of migration and in the emergence of their feminized and racialized subjectivities. On the basis of anthropological research in Israel and the Philippines, it analyses Filipina care workers’ narratives of migration to Israel as a form (...) of spiritual transformation, investigating their spiritual practices and emphasis on Christian morals like ‘compassion’ and ‘patience’ for their work. Israel, a country that has recruited Filipinos as carers for the elderly since the 1990s, is a destination country highly valued among Filipino Christians as the ‘Holy Land’. Focusing on evangelical Christians, the article portrays four women for whom migration to Israel signifies an ethical career: turning into ‘Holy Land’ pilgrims, Christ-like activists and missionaries, they are engaged in a deeply self-transforming journey. Rooting themselves in Christian spiritualities and morals, these women negotiate and ‘inhabit’ rather than openly challenge existing gender norms. Engaged in corporeal disciplining of their selves during affectively demanding care work, and in migration more generally, their moves are analysed as a form of ethical formation. (shrink)

The purpose of this research is to empirically test the salmon bias hypothesis, which states that the “healthy migrant” effect—referring to a situation in which migrants enjoy lower mortality risks than natives—is caused by selective return-migration of the weak, sick, and elderly. Using a unique longitudinal micro-level database—the Historical Sample of the Netherlands—we tracked the life courses of internal migrants after they had left the city of Rotterdam, which allowed us to compare mortality risks of stayers, returnees, and movers using (...) survival analysis for the study group as a whole, and also for men and women separately. Although migrants who stayed in the receiving society had significantly higher mortality risks than natives, no significant difference was found for migrants who returned to their municipality of birth. By contrast, migrants who left for another destination had much lower mortality risks than natives. Natives who left Rotterdam also had significantly lower mortality risks than natives who stayed in Rotterdam. Female migrants, in particular, who stayed in the receiving urban society paid a long-term health price. In the case of Rotterdam, the salmon bias hypothesis can be rejected because the lower mortality effect among migrants was not caused by selective return-migration. The healthy migrant effect is real and due to a positive selection effect: Healthier people are more likely to migrate. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:American Journal of Philology 124.3 (2003) 325-327 [Access article in PDF] Introduction John F. Donahue The present special issue of the American Journal of Philology takes as its focus dining in the Roman world. It grew out of the APA/AIA Joint Panel on that subject, which was part of the annual meeting held in Philadelphia in 2002. The topic is both timely and engaging. Indeed, owing largely to its (...) perishability, its diversity, and the ease with which it can be manipulated for any number of social or political ends, food has proven to be an especially amenable topic for scholarly analysis of all sorts.The articles gathered in this special issue further illuminate the nature and function of this elemental yet highly complex social practice, offering a variety of approaches—historical, sociological, literary, cultural, and material—to food and dining in the Roman world.In the first article, "The Way We Used to Eat: Diet, Community, and History at Rome," Nicholas Purcell shows clearly that food and dining can be profitably approached from a cultural perspective. Here, Purcell explores Roman self-consciousness about nutrition and the way in which diet (and implicitly agriculture) were transformed into a narration of historical change. The process is evident in the "comestible historiography" of the elder Pliny, in which the simple foods associated with earlier Roman history provide insight into the ways in which the Romans thought about time and change by focusing on food. Especially influential in this type of approach was Varro and, before him, Dicaearchus. Thus for the Romans, food played a notable role in the relationship of the present to various pasts; in the process it becomes an important marker in helping us to map the intellectual and cultural history of the Republican period.Turning to Roman literature, John Wilkins, in "Land and Sea: Italy and the Mediterranean in the Roman Discourse of Dining," reminds us that Roman dining was linked both to the ideology of the early Imperial period and to the mythography of the agricultural base of Republican politics. The result is a body of texts that moralize against luxury and excess, however much this viewpoint may be at odds with actual Roman practice. In a refreshing departure from the Latin texts that typically treat these themes, the author points to the Greek writers of the second [End Page 325] century C.E., namely, Athenaeus and Galen. Both were interested in eating and dining, but from a much broader perspective than the moralizing approach typical of so much of Roman dining literature.While approaches of this sort help to illuminate both the universality of the dining experience and its uniquely Roman aspects, the sharing of food also intersects in interesting ways with gender and the body. Matthew Roller, in his article "Horizontal Women: Posture and Sex in the Roman Convivium," examines literary texts, Roman urban funerary monuments, and Campanian wall painting in order to understand more completely the complexities of female posture at Roman convivia. On a historical level such evidence argues for women assuming a reclining posture; on an ideological level, the reclining woman symbolizes many of the same things that a reclining posture symbolizes for men—otium, privilege, and pleasure. Even so, the matter of female sexual propriety is never far below the surface, especially in the non-literary sources.John Donahue, in "Toward a Typology of Roman Public Feasting," examines public banqueting during the Principate against the background of modern typologies of commensality in order to understand not only the form but also the deeper social function of public dining. Donahue assembles a wide cross section of Roman testimonia and weaves them into a coherent (if imperfect) framework of festal typologies, while employing a cross-cultural and interdisciplinary approach, in this instance from French sociology. The Roman evidence is categorized into useful typologies, which, in turn, enrich our understanding of public dining and its place in Roman daily life.Not to be overlooked within the Roman festal landscape were servants, the "human props" of the elite-sponsored banquet, as John D'Arms appropriately characterized them. 1 Here, in the final entry, Katherine M.D. Dunbabin... (shrink)

This article presents a multimodal video corpus with the principal aim to model and predict the effects of aging in Mild Cognitive Impairment situation on pragmatic and communicative skills. We take as observable variables the verbal pragmatic markers and non-verbal pragmatic markers. This approach, at the interface of the psycholinguistics, cognitive sciences and rehabilitation medicine (speech-language pathology and therapy) is part of a longitudinal research process in an ecological situation (interviews conducted by close intimate of the elderly).In the first part (...) of the article we present the linguistic, cognitive and social characteristics of aging in its continuum up to mild cognitive impairment and pathological disorders such as Alzheimer’s disease. In the second part, we develop a multimodal approach, in particular to inform and enrich speech and language therapy knowledge. Finally, we present our experimental design and preliminary results on two female participants over 75 years of age with mild cognitive impairment.Our general findings indicate that with aging, verbal pragmatic markers acquire an interactive function that allows people with Mild Cognitive Impairment to maintain intersubjective relationships with their interlocutor. In addition, at the non-verbal level, gestural manifestations are increasingly mobilized over time with a preference for non-verbal pragmatic markers with a referential function and an interactive function. One such non-verbal manifestation compensates for naming deficits, planning difficulties, discursive hitches; while another optimizes and maintains the interaction with the interlocutor.Clinicians have a duty to develop their professional practice through an evidence-based clinical approach whose main objective is to reconcile clinical practice with the best evidence from research (Dollaghan 2007). In the case of speech-language pathology, clinicians consider themselves very limited in this approach (Lof 2011; McCurtin 2011), especially for patients with Mild Cognitive Impairment (Mungas et al. 2010; Hopper 2013; Morello 2017) and more specifically when it comes to assessing or supporting language functions (Cummings 2014).The studies focusing on Mild Cognitive Impairment require longitudinal corpora i) to understand the naturally occurring evolutions in subjects, ii) the implication of the cognitive reserve in each individual, and iii) to take advantage of these parameters as evidence for research and earlier rehabilitation. We aim to show the benefits of linguistic and interactional scientific investigation methods through fragile aging, for health professionals and everyday caregivers. (shrink)

This paper investigates the impact of kin on child survival in a matrilineal society in Malawi. Women usually live in close proximity to their matrilineal kin in this agricultural community, allowing opportunities for helping behavior between matrilineal relatives. However, there is little evidence that matrilineal kin are beneficial to children. On the contrary, child mortality rates appear to be higher in the presence of maternal grandmothers and maternal aunts. These effects are modified by the sex of child and resource ownership: (...) female children and children in households where women, rather than men, own land suffer higher mortality rates in the presence of maternal kin. These modifiers suggest the detrimental effects of matrilineal kin may result from competition between such kin for resources. There are some positive effects of kin on child survival: the presence of elder siblings of both sexes is correlated with higher survival rates, and there is some weak evidence that paternal grandmothers may be beneficial to a child’s survival chances. There is little evidence that any male kin, whether matrilineal or patrilineal, and including fathers, affect child mortality rates. This study highlights the importance of taking social and ecological context into account when investigating relationships between kin. (shrink)

When decisionally incapable patients need a surrogate to make medical decisions for them, sometimes the patient has not appointed a healthcare agent and there is intractable disagreement among potential surrogates of equal priority, legal rank, or relation to the patient (e.g., child vs. child, sibling vs. sibling). There is no ethical, legal, or professional consensus about how to identify the appropriate surrogate in such circumstances. This article presents a case study involving an elderly female patient whose four children disagree (...) about whether to continue life-sustaining treatment for their mother, along with an ethical analysis of various strategies for selecting the appropriate surrogate in cases of conflicting equal-rank family members. It critically examines three different strategies—chance, majority rules, and quality of relationship with the patient—and defends the third approach. (shrink)

This study examines the personal values and value types of Chinese accounting practitioners and students, using the values survey questionnaire developed and validated by Schwartz (1992, Advances in Experimental Social Psychology 25, 1–65). A total of 454 accounting practitioners and 126 graduate accounting students participated in the study. The results show that Healthy, Family Security, Self-Respect, and Honoring of Parents and Elders are the top four values for both accounting practitioners and accounting students, although these values are not ranked (...) in the same order. Social Power, An Exciting Life, Devout, and Accepting My Portion in Life are the lowest rated four values for the accounting practitioners whereas Devout, An Exciting Life, Detachment, and Accepting My Portion in Life form the bottom four values for the accounting students. Both accounting practitioners and students ranked Security as the highest value type and Tradition as the lowest one, and the students rated Self-Direction as significantly more important than the practitioners. With respect to gender differences, both the male accounting practitioners and students rated the value type Achievement significantly higher than their female counterparts and there were several significant gender differences in personal values for both accounting practitioners and students. In addition, the perceived values are linked to social and cultural factors as well as to the influence of Western values. (shrink)

Capitalist reforms usually drive outmigration of peasants to cities, while elders, children, and women responsible for their care are “left behind” in the countryside. The plight of these “left behind” populations is a major focus of recent agrarian studies in China. However, rural women are not merely passive victims of these transformations. Building on ethnographic research in Guangxi and Henan provinces from 2013 to 2017, and drawing on critical gender studies and feminist political ecology, I show how the food (...) safety crisis in China creates conditions for peasant women to increase control and income from organic food production, often establishing alternative food networks with the support of female scholars and NGO organizers. Thus, I shift focus of scholarship on rural women from “left behind” to leaders in struggles for justice and food sovereignty. (shrink)

The consent and community engagement process for research with Indigenous communities is rarely evaluated. Research protocols are not always collaborative, inclusive or culturally respectful. If participants do not trust or understand the research, selection bias may occur in recruitment, affecting study results potentially denying participants the opportunity to provide more knowledge and greater understanding about their community. Poorly informed consent can also harm the individual participant and the community as a whole. Invited by local Aboriginal community leaders of the Fitzroy (...) Valley, the Kimberley, Western Australia, The Picture Talk project explores the consent process for research. Focus groups of Aboriginal community members were conducted to establish preferences for methods of seeking individual consent. Transcripts were analysed through NVivo10 Qualitative software using grounded theory with inductive and deductive coding. Themes were synthesised with quotes highlighted. Focus groups with Aboriginal community members were facilitated by a Community Navigator as a cultural guide and interpreter and a researcher. Participants were recruited from all main language groups of the Fitzroy Valley – Gooniyandi, Walmajarri, Wangkatjungka, Bunuba and Nikinya. Participants were aged ≥18 years, with 5 female groups and one male group. Themes identified include: Reputation and trust is essential; The Community Navigator is key; Pictures give the words meaning – milli milli versus Pictures; Achieving consensus in circles; Signing for consent; and Research is needed in the Valley. Aboriginal communities of the Fitzroy Valley recommend that researchers collaborate with local leaders, develop trust and foster a good reputation in the community prior to research. Local Aboriginal researchers should be employed to provide cultural guidance throughout the research process and interpret local languages especially for elders. Pictures are preferred to written text to explain research information and most prefer to sign for consent. The Fitzroy Valley welcomes research when collaborative and for the benefit of the community. Future research could include exploring how to support young people, promote health screening and improve understanding of medical knowledge. (shrink)

In the _Nichomachean Ethics_, Aristotle defines three kinds of friendship: utility, pleasure, and virtue. The characters in the films of Sean Baker fit into none of these categories. Friendship is central to all of Baker’s films, but it takes the non-Aristotelian form of “friends, no matter what,” which I interpret as a description of the aporia of friendship, of an impossible friend, or a friend in the realm of fantasy. In other words, friends are only friends when they resist everything (...) friends are supposed to do. Betrayal, lies, and complications sit at the heart of this new definition. One mechanism for this kind of friendship is _mourning_. Friends are only friends when friendship is mourned, or when it is part of a crypt, or a vault for losses that are too traumatic to confront fully, as set out in the work of Sigmund Freud, Jacques Derrida, Nicolas Abraham and Mária Török, and developed by Laurence Rickels. This reading of mourning puts a particular spin on fantasy, for if fantasy is generally assumed to be about wish-fulfillment, then when fantasy reaches into the crypt for inspiration, it is retooled into a vehicle for confronting what is too hard to face. This is the function of friendship in Baker’s films: his friends are Judas figures going against their friends in order to keep their friendship alive. In _Tangerine_ (2015), two transgender sex workers in West Hollywood develop their friendship around a fight over a man. In _Starlet_ (2012), a young woman hides a secret from her elderly female friend, and this friendship is only saved when another actress betrays this secret. In these films, friendship is paradoxically formed by attempting to ruin friendship. Thought on fantasy and mourning will help in defining this type of non-Aristotelian friendship, as well as Freud’s work on the “ambivalence of feeling” from his writing on the First World War. (shrink)

It is unknown whether hospital-based medical professionals in Spain educate patients about advance directives. The objective of this research was to determine the frequency of hospital-based physicians’ and nurses’ engagement in AD discussions in the hospital and which patient populations merit such efforts. A short question-and-answer-based survey of physicians and nurses taking care of inpatients was conducted at a university hospital in Madrid, Spain. In total, 283 surveys were collected from medical professionals, of whom 71 per cent were female, (...) with an average age of thirty-four years. Eighty-four per cent had never educated patients about ADs because of lack of perceived responsibility, time, or general knowledge of ADs. Patient populations that warranted AD discussions included those with terminal illnesses, chronic diseases, and elderly patients. Regarding degree of AD understanding in medical professionals: 57 per cent of medical professionals claimed sufficient general knowledge of ADs, 19 per cent understood particulars regarding AD document creation, and 16 per cent were aware of AD regulatory policies. Engagement in AD discussions was considered important by 83 per cent of medical professionals, with 79 per cent interested in participating in such discussions themselves. The majority of hospital physicians and nurses do not educate their patients about ADs, despite acknowledging their importance. Patient populations of highest priority included those with terminal diseases or chronic illness or who are of advanced age. (shrink)

Background Although medical ethicists and educators emphasise patient-centred decision-making, previous studies suggest that patients often prefer their doctors to make the clinical decisions. Objective To examine the associations between a preference for physician-directed decision-making and patient health status and sociodemographic characteristics. Methods Sociodemographic and clinical information from all consenting general internal medicine patients at the University of Chicago Medical Center were examined. The primary objectives were to (1) assess the extent to which patients prefer an active role in clinical decision-making, (...) and (2) determine whether religious service attendance, the importance of religion, self-rated spirituality, Charlson Comorbidity Index, self-reported health, Vulnerable Elder Score and several demographic characteristics were associated with these preferences. Results Data were collected from 8308 of 11 620 possible participants. Ninety-seven per cent of respondents wanted doctors to offer them choices and to consider their opinions. However, two out of three (67%) preferred to leave medical decisions to the doctor. In multiple regression analyses, preferring to leave decisions to the doctor was associated with older age (per year, OR=1.019, 95% CI 1.003 to 1.036) and frequently attending religious services (OR=1.5, 95% CI 1.1 to 2.1, compared with never), and it was inversely associated with female sex (OR=0.6, 95% CI 0.5 to 0.8), university education (OR=0.6, 95% CI 0.4 to 0.9, compared with no high school diploma) and poor health (OR=0.6, 95% CI 0.3 to 0.9). Conclusions Almost all patients want doctors to offer them choices and to consider their opinions, but most prefer to leave medical decisions to the doctor. Patients who are male, less educated, more religious and healthier are more likely to want to leave decisions to their doctors, but effects are small. (shrink)

In the six remarkable elegidia transmitted in the Tibullan corpus as 3.13–18 we appear to possess the writings of an educated Roman woman of aristocratic family and high literary connections: a woman, moreover, who participates as an equal in one of the most distinguished artistic salons of the age, and composes poetry in an obstinately male genre on the subject of her own erotic experience, displaying a candour and the exercise of a sexual independence startingly at odds with the ideology (...) of her class. Such a figure is either, depending on one's viewpoint, too good to be true or too embarrassing to be tolerated. The case could easily be put that Sulpicia, more perhaps even than Sappho, has found her poems condemned by accident of gender to a century and a half of condescension, disregard, and wilful misconstruction to accommodate the inelastic sexual politics of elderly male philologists. Certainly even the most sympathetic of recent comment is prone to lapse into a form of critical language outlawed in Catullan scholarship thirty years ago. Yet feminist critics have been strangely cautious in their response. A scholar who rose swiftly to the defence of Erinna when that elusive poet's identity was impugned has notoriously written of Sulpicia: ‘She was not a brilliant artist: her poems are of interest only because the author is female.’ Five years late, Sulpicia has found a place in the major sourcebook on ancient women, but with the cycle of poems violently reordered after the judgment of a nineteenth-century critic, anxious to restore his poetess's chastity against the disconcerting frankness of the texts. (shrink)

The massive industrialization of World War I resulted in a previously unimaginable number of casualties. The military and civil agencies in Germany that managed the welfare systems for veterans collaborated with companies, engineers and physicians to produce prosthetic arms, hands and legs that would allow disabled former soldiers to re-enter the factory as productive workers. This article focuses on the one of the best known arm prosthesis, the Siemens-Schuckert-Arm. While other historians have argued that the military command “recycled” disabled soldiers (...) effectively, this article argues instead that this “recycling” was incomplete due to three factors: not all offices and individuals worked together effectively; the price of the arm was too high; and employers thought the disabled would be less productive then female or elderly workers. In other words, while military and civil welfare agencies attempted to re-purpose disabled soldiers using advanced prosthetic technology, their efforts fell far short of fully reintegrating these soldiers into the war effort. (shrink)

Older adults were considered a vulnerable group for the COVID-19 infection and its consequences, including problems with sleep.AimTo evaluate the prevalence of sleep disorders in older adults, to describe their sleep patterns, as well as to analyse if there were any changes in comparison with the period pre-pandemic.Materials and MethodsOnline survey used for data collection received answers from 914 elderly age range 65–90 years, from April to August 2020. Results: 71% of the sample reported a pre-existent sleep disorder, and some (...) of them worsened during the pandemic, especially Insomnia in women and Obstructive Sleep Apnea in men. No difference in sleep duration before and during the pandemic was found, although there was a worsening of some aspects related to sleep, such as sleep quality, sleep efficiency, awakening quality, sleep latency and nocturnal awakenings, especially in the female gender. Educational level influenced sleep latency, indicating higher sleep latency among those with primary education when compared with the ones with Ph.D.ConclusionThe pandemic had influenced sleep patterns among the elderly, as well as worsening of pre-existent sleep disorders. Female gender and low educational level were considered risk factors for sleep alterations, and high educational level, on its turn, appeared to be a protective factor. (shrink)

Elselijn Kingma argues that Christopher Boorse’s biostatistical theory does not show how the reference classes it uses—namely, age groups of a sex of a species—are objective and naturalistic. Boorse has replied that this objection is of no concern, because there are no examples of clinicians’ choosing to use reference classes other than the ones he suggests. Boorse argues that clinicians use the reference classes they do because these reflect the natural classes of organisms to which their patients belong. Drawing on (...) a thorough exploration of how the disease osteoporosis is defined in adults, I argue that clinicians do indeed make choices about which reference classes to use in diagnosis. Clinicians use young adult reference classes to diagnose osteoporosis in elderly patients. They also use young female reference classes to diagnose osteoporosis in elderly males. Clinicians adjust their reference classes so that the diagnosis of osteoporosis reflects a person’s risk of sustaining a fragility fracture. The ethical intuition that people with the same risk of fracture should receive the same diagnosis overwhelms the naturalistic intuition that reference classes should reflect natural classes of organisms of uniform functional design. Clinicians construct a variety of reference class types, including pathological reference classes and epidemiological population-specific reference classes, to serve this ethical intuition. I show how clinicians use several reference classes at once so that they can more accurately predict risk of fracture. Ultimately, the reference classes chosen and used in medical practice are quite different from those proposed in naturalistic philosophy of medicine. (shrink)

There are two women called Salpe who are said to have written books in antiquity: one is described by Athenaeus as the name or pseudonym of a writer of ‘Paignia’ the other is cited by Pliny the Elder who calls her at one point Salpe obstetrix. Salpe is a rare name in antiquity—I know of no other examples—and few ancient books were ascribed to women. That two of these rare female writers should be called by the same name is (...) something of a coincidence. That the name they shared was the very rare Salpe is a priori distinctly unlikely. It is much more plausible that they were one and the same. (shrink)

Einon's data support our original claims, although not a claim she seems to assume – of reciprocal attraction between elderly men and 20-year-old women. Implicit in her commentary is an assumption that genetic predispositions are omniscient fitness maximizers. Instead, evolutionary models assume selection-fashioned psychological mechanisms that, in the context of other mechanisms and pressures in past environments, had a positive effect on fitness relative to competing alternatives. The Over & Phillips data fit with our own data on homosexuals, and with (...) the assumption of independent modular mechanisms, rather than any existing sociocultural models. Einon also incorrectly assumes that evolutionary models have overemphasized male choice to the exclusion of female choice. (shrink)

Legal frameworks are in place to protect those who lack the capacity to consent to research, such as the Mental Capacity Act in the UK. Assent is sought instead from a proxy, usually a relative. However, the same legislation may, perversely, affect the welfare of those who lack capacity and of others by hindering the process of recruitment into otherwise potentially beneficial research. In addition, the onus of responsibility is moved from those who know most about the study (ie, the (...) scientific community) to those who know less (the proxies). In this paper, we describe the characteristics of a sample at different stages of the recruitment process of an influenza vaccine-based randomised control trial in elderly care home residents (the FEVER study). 62% (602/968) of potential subjects lacked capacity but only 29% (80/277) of those actually randomised. Older age, being female and living in an Elderly Mentally Ill care home were the only variables associated with lacking capacity. Considering this was a study based in a care home setting where the prevalence of dementia approximates 80%, the trial, like many others, was thus significantly biased. We believe that difficulties seeking proxy assent contributed significantly to this problem. Further thought should be given to how assent to enter research for those who lack capacity should be provided, and we suggest avenues for further discussion such as independent risk/benefit expert panels. (shrink)

The world of the Na'vi is much more feminine. Na'vi women are equal partners with their men and are just as capable as their male counterparts. And as the tsahìk (spiritual leader) of the Omaticaya clan, Neytiri's mother Mo'at exercises an unrivalled degree of power and influence due to her ability to interpret the will of Eywa, the Na'vi's female deity. Historically, women are the ones who have had the most intimate experience of care, since they have traditionally been (...) the ones tasked with providing it for children, the sick, the disabled, and the elderly. The philosopher Sara Ruddick (1935–2011), one of the pioneers of care ethics, identified three activities at the core of what she calls “maternal work”: preserving the life of the child, fostering the growth of the child, and training the child for social acceptability. (shrink)

ABSTRACT The disparity in the venezuelan demographic transition is a fact known by experts. On this setting, there are four municipalities in Falcón State with a high elder population, one of them is Tocópero. This research had as general objectives to study the estimations of demographic risks and the social politics for elders, people who are 75 and more, from Tocópero Municipality, considering that specialists indicate that, once the demographic oldness has arrived, it is important to study thoroughly the (...) elder population in order to design relevant politics and programs, taking into consideration that it is a vulnerable group. It was an exploratory and descriptive study, with a field-no experimental-transectional design. The sample was intentional. Structured interviews and questionnaires were applied to elders and municipal officials. The data processing was carried out by using quantitative methods. The conclusions indicated that the elder population in Tocópero Municipality had a marked female tendency. In general terms, the adverse effects associated to the estimations of demographic risk were not present in the studied sample. There was no relation between the demographic reality of this municipality and the social politics and programs implemented. The programs concentrated the elder and suppressed the intergenerational contact; the centralism was the key element to understand the present politics of the Venezuelan state towards the oldness. The demographic oldness of this municipality was determined by the way in which the birth of the municipality was approved. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Affect Attunement in the Caregiver-Infant Relationship and Across SpeciesExpanding the Ethical Scope of ErosCynthia WillettCompelling glimpses into the ethical capacities of our animal kin reveal new possibilities for ethical relationships encompassing humans with other animal species. Consider the remarkable report of a female bonobo in a British zoo who assists a bird found in her cage by retrieving the fallen bird, and spreading its wings so that this (...) fellow creature might fly away to its freedom. Or the report of a cat in a nursing home who curls up around dying elderly patients, and remains steadily by their side as they, unbeknownst to the medical personnel, pass away.1 Or of a sacred moment of silence by a stream for baboons in East Africa.2 Or of the ethics that spontaneously emerges among wolves at play.3 On the basis of extensive studies, biologist Frans de Waal argues that such anecdotes are far from rare, and that some core elements of moral understanding and compassion occur among a significant range of nonhuman as well as the human animal species. Apes, monkeys, and perhaps all nonhuman animals fail to display a distinctly human capacity for abstract moral reasoning. As de Waal (2006) remarks, it is difficult to tell (173–75). But our furry and feathery kin do without a doubt demonstrate rich elements of ethical response, and they often enough extend their moral concern to creatures beyond their own species. Of course, they will also bite each other’s heads off or eat their own young as well. But this is just to say that animals are neither natural [End Page 111] innocents nor savage brutes. Like us, they belong to what post-Nietzschean philosophers might frame, somewhat ironically, as a postlapsarian world of good and evil.What kind of philosophical approach could account for these postlapsarian genealogies of ethics? Biologists, primatologists, and anthropologists are drawing upon investigations of prosocial behavior to remap the boundaries of ethics, as for example in Isabelle Stengers’s call for cosmopolitical ecologies of relationships (2010, 33). Such a cosmopolitics aims to encompass our kin and kind from diverse species within the ethical boundaries of common worlds. Donna Haraway discovers an opening for Stengers’s ecology of relationships in the intimate encounters among co-evolving species, especially those she calls companion species (2008, 83). She argues, following Derrida, that the abstract reasoning processes of Stoic and Kantian cosmopolitan ethics remain closed to the participation of nonhuman animals as anything more than dependents, failing to observe the ways in which they act as companions, if not moral subjects. But then, what normative force might bind together an ethically attuned biosocial sphere that we as humans co-inhabit with other animal species?To explore this question, this essay takes its cues from well-established research on the responsive, preverbal connection of the human infant and adult caregiver (Bateson 1979; Trevarthen 1984; Stern 1985, 2010; Gibbs 2001, 2010; Hansen 2004; Anderson 2006; Papoulias and Callard 2010; Willett 1995, 2001). To this research we can add new animal studies (Smuts 1999, 2001; Fudge 2002; de Waal 2006, 2009; Bekoff 2007; Molnar 2008; Haraway 2008). These animal studies provide a basis for extending an “ethics of eros” with roots in Luce Irigaray, Michel Foucault, Enrique Dussel, Africana feminism, Freudo-Marxist critical theory, and Plato (for discussions of this tradition, see Bergoffen 1997; Huffer 2009; Willett 2001)—but reconfigured in terms of social bonds across multiple animal species. In this tradition of ethics, the lack of a cognitive-based moral subjectivity that can translate into human terms does not consign nonhuman species to a mute moral status. On the contrary, some more primordial basis for relationship and meaning may weave thin but substantial threads of a postmoral ethics across regions of the biosphere.Given the diverse modes of subjectivity among animal species, and even the lack of what we call a moral subject altogether in many species, neither ordinary modes of empathy nor of moral understanding go very far in forging multispecies social bonds. For this reason, we turn to research on “the attunement of affects” in the infant-caregiver relationship (Stern 1985). As we shall see, this... (shrink)

Background: Falls in older adults are a major public health problem. White matter hyperintensities are highly prevalent in older adults and are a risk factor for falls. In the absence of a cure for WMHs, identifying potential strategies to counteract the risk of WMHs on falls are of great importance. Physical activity is a promising countermeasure to reduce both WMHs and falls risk. However, no study has yet investigated whether PA attenuates the association of WMHs with falls risk. We hypothesized (...) that PA moderates the association between WMHs and falls risk.Methods: Seventy-six community-dwelling older adults aged 70–80 years old were included in this cross-sectional study. We indexed PA using the Physical Activity Score for the Elderly Questionnaire. Falls risk was assessed using the Physiological Profile Assessment, and WMH volume was determined by an experienced radiologist on T2-weighted and PD-weighted MRI scans. We first examined the independent associations of WMH volume and PASE score with PPA. Subsequently, we examined whether PASE moderated the relationship between WMH volume and PPA. We plotted simple slopes to interpret the interaction effects. Age, sex, and Montreal Cognitive Assessment score were included as covariates in all models.Results: Participants had a mean age of 74 years and 54 were female. Forty-nine participants had a Fazekas score of 1, 19 had a score of 2, and 6 a score of 3. Both PASE and WMH volume were each independently associated with PPA score. The interaction model indicated that PASE score moderated the association between WMH volume and PPA, whereby higher PASE score attenuated the association between WMHs and falls risk.Conclusion: PA is an important moderator of falls risk. Importantly, older adults with WMH can reduce their risk of falls by increasing their PA. (shrink)

The dominant view of women has changed radically during the last century. These changes have had an important impact on the way of life of women in general and, undoubtedly, on women as patients. So far, gender differences have received little attention when developing healthcare services. Stroke hits a great number of elderly women. Wyller et al. found that women seemed to be harder hit by stroke than men; they achieved lower scores in tests of motor, cognitive and ADL functions, (...) both in the acute phase and 1 year after stroke. It is reasonable to expect that differences in outcome among male and female sufferers may in part be explained by the fact that rehabilitation services are designed primarily to meet the needs of men. de Beauvoir's feminist theory maintains that one's body is fundamental in creating the person, which is a lifelong process. Traditionally, the female body has been exposed to alienation and oppression through life. This has led women to develop a life in immanence. This we feel can be of significance in connection with rehabilitation after a stroke, particularly for elderly women. In this article we will discuss how de Beauvoir's theory can throw new light on the experiences and rehabilitation of elderly women and point to ways of improving the process of rehabilitation. (shrink)

Purpose. Aging is intricate process of self-transformation in view of involution of body, loss of sexual attractiveness, but at the same time, old age is a time for reconsideration of self-existence in time and in the world within coherence of life sense targets and their realization. Unique individual experience of growing old implemented in Ukrainian literature can complete the data received by gerontology. Moreover gender approach in literary gerontology highlights masculine / feminine phenotypical features of internal reverberating of aging. Theoretical (...) basis. To inquire into existential and psychological problems of aging exemplified in the twentieth-century Ukrainian Lyrics it is seems to be the most effective to employ philosophical and psychological approaches in gerontology, as well as feministic studies on elder female body discrimination, in particular in literature. Originality. This research paves the way to the development of gender and literary dimensions in Ukrainian gerontology and anthropology in general. Some of the existential and psychological problems of aging are revealed on the material of 20th-century Ukrainian poetry. The individual lyric experience of aging in different gender moods is anchored mostly in psychic, mental, sense-life strategies. Conclusions. Among the feminine strategies of aging self-reception there are observation of own elder body with anxiety and fear, its "invisibility", deepened feelings of loneliness, self-estrangement, but also finding the sense of life and soul harmony in own family, offspring. Masculine self-reception of aging deals with ideal spiritual model of Wise old man – more abstract than personal; masculine anxiety is caused by physical bodily declining, not attractiveness, but strength and power loosing. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Sophocles’s Enemy Sisters: Antigone and IsmeneWm. Blake Tyrrell (bio) and Larry J. BennettAt the core of the Oedipus myth, as Sophocles presents it, is the proposition that all masculine relationships are based on reciprocal acts of violence. Laius, taking his cue from the oracle, violently rejects Oedipus out of fear that his son will seize his throne and invade his conjugal bed. Oedipus, taking his cue from the oracle, (...) does away with Laius, violently rebuffs the sphinx, then takes their places—as king and “scourge of the city,” respectively. Again, Oedipus, taking his cue from the oracle, plots the death of that unknown figure who may be seeking to usurp his own position. Oedipus, Creon, and Tiresias, each taking his cue from the oracle, seek one another’s downfall.All these acts of violence gradually wear away the differences that exist not only in the same family but throughout the community.—René Girard, Violence and the SacredRené Girard does not include feminine relationships in his assessment of the Oedipus myth, yet the same redundancy that characterizes the males marks the females.1 Jocasta conjoins in one person multiple and redundant social roles: she is the mother and wife of the same person, for which she [End Page 1] hangs herself, leaving for Oedipus “many pains that a mother’s furies fulfilled” (Homer Odyssey 11.279–80). Her daughters, their father’s sisters, manifest kinship redundancy in two persons. Incest produces circularly, reverting to a sibling of the parent rather than moving forward with a descendant. The absence of linear progression from one generation to the next creates a sameness and equilibrium that thwart separation and individuality. Oedipus’s brothers/sons fail in their adult roles, because neither can overcome the other’s right to the throne of Thebes and the mastery of its royal household. They are enemy brothers locked in reciprocal violence.2 Antigone and Ismene have escaped notice not only as enemy sisters but even as products of the same incest. Audiences for Sophocles’s Antigone have viewed them as “normal” women and cooperated with his characters in emphasizing the differences between them. They have assumed from Antigone’s betrothal to Haemon and resistance to Creon that she is the elder, more mature sister.3 They tend to accept without question that Antigone engages in burial rituals with Polyneices’s corpse (241–58) and returns to it (442–35).4 Bernard M. W. Knox’s critically powerful concept of the “Sophoclean hero” has bolstered this view of Antigone while reducing Ismene to a foil, and abetted the tendency of modern producers of the play to cast an older or more famous actress in the role of Antigone.5 Naturalistic readings like that of C. M. Bowra—“seeing that Ismene is her only close relative in the world, Antigone is remarkably cold to her”6—have masked the source and hence the vehemence of Antigone’s fury.That the reciprocity of the violence between Ismene and Antigone has gone unnoticed is understandable in view of the familiarity of the conflict between their brothers. Males in Greek society pursued difference by striving to excel as aristoi (best) in competition for prestige, wealth, and power.7 Whenever Eteocles and Polyneices came together, each asserted a right to Oedipus’s household and throne that was equally matched, and violence ensued from the equilibrium. On the other hand, Greek women were not supposed to compete with one another for distinction. They wove wool for clothes, maintained the household, and cared for the children, the sick, and the dead, activities that required cooperation away from public view.8 Proximity to other women was the norm and desideratum. Moreover, lawgivers like Solon based their funeral legislation on the premise that every woman wanted to participate in mourning.9 For the sake of public tranquillity, legislators tried to limit the numbers of women participants by imposing restrictions according to degrees of kinship, for instance, to children of fifth cousins. In this context, women were interchangeable, and the places they held during birth, coming of age in wedding ceremonies, and death, [End Page 2] were open to more than one woman. Closeness and... (shrink)

Despite the police preventing special fraud victimisation of older adults, both the number of cases and the amount of damage have remained high in Japan. ‘Special fraud’, in Japan, is a crime in which victims are tricked by fraudsters who through phone or postcards impersonate the victims’ relatives, employees and other associates, to dupe the victims of their cash or other valuables. The number of recognised cases of special fraud has been turned to increase in 2021. Although police or consumer (...) affairs administrations have been conducting all-encompassing enlightenment or public education for prevention, it is also necessary to reach out to those who are vulnerable to fraud. In this study, we determine the psychosocial characteristics of victims of special fraud in Japanese older adults. We analysed the age, gender, education, residential status, household satisfaction, risk perception and scam vulnerability scale of 56 older adults aged 60 years or older who had been victims of special fraud and 99 older adults aged 60 years or older who had never been victims of special fraud. The study found that the victimised older adults were more likely to be females who live alone and go out less frequently than the non-victimised older adults. The total scores of the scam vulnerability scale were higher among the elderly victims of special fraud compared to those who had never been scammed, suggesting that the psychosocial characteristics of victims of special fraud among older adults are being female, living alone, going out infrequently, having high confidence against fraud victimisation and responding quickly to phone calls and unknown visitors. Therefore, government agencies or family members should take care of older women who meet these characteristics to reduce their contact with fraudsters. (shrink)