Interest in home birth appears to be growing among American women, and most obstetricians can expect to encounter patients who are considering home birth. In 2011, the American College of Obstetricians and Gynecologists (ACOG) issued an opinion statement intended to guide obstetricians in responding to such patients.In this article, I examine the ACOG statement in light of the historical and contemporary clinical realities surrounding home birth in the United States, an examination guided in part by my own experiences as an (...) obstetrician in home-birth-friendly and homebirth-unfriendly medical milieus. Comparison with other guidelines indicates that ACOG treats home birth as an ethical exception: comparable evidence leads to strikingly different recommendations in the case of home birth and the case of trial of labor following a prior cesarean; and ACOG treats other controversial issues that involve similar ethical questions quite differently.By casting the provision of information as not just the primary but the sole ethical responsibility of the obstetrician, ACOG statement obviates obstetricians’ responsibilities to provide appropriate clinical care and to make the safest possible clinical environment for those mothers who choose home birth and for their newborns. What, on its face, seems to be a statement of respect for women’s autonomy, implicitly authorizes behaviors that unethically restrain truly autonomous choices. Obstetricians need not attend home births, I argue. Our ethical duties do, however, oblige us (1) to refer clients to skilled clinicians who will attend home birth, (2) to continue respectful antenatal care for those women choosing home birth, (3) to provide appropriate consultation to home birth attendants, and (4) to ensure that transfers of care are smooth and nonpunitive. (shrink)

Nonetheless, psychoanalytic feminist theory can offer a new interpretive strategy for deconstructing her equally famous opposition between the social and the ...

Suicide has long been the subject of philosophical, literary, theological and cultural–historical inquiry. But despite the diversity of disciplinary and methodological approaches that have been brought to bear in the study of suicide, we argue that the formal study of suicide, that is, suicidology, is characterized by intellectual, organizational and professional values that distinguish it from other ways of thinking and knowing. Further, we suggest that considering suicidology as a “social practice” offers ways to usefully conceptualize its epistemological, philosophical and (...) practical norms. This study develops the idea of suicidology as a social practice and considers the implications for research, practice and public discourse. (shrink)

We describe research carried out as part of a text summarisation project for the legal domain for which we use a new XML corpus of judgments of the UK House of Lords. These judgments represent a particularly important part of public discourse due to the role that precedents play in English law. We present experimental results using a range of features and machine learning techniques for the task of predicting the rhetorical status of sentences and for the task of selecting (...) the most summary-worthy sentences from a document. Results for these components are encouraging as they achieve state-of-the-art accuracy using robust, automatically generated cue phrase information. Sample output from the system illustrates the potential of summarisation technology for legal information management systems and highlights the utility of our rhetorical annotation scheme as a model of legal discourse, which provides a clear means for structuring summaries and tailoring them to different types of users. (shrink)

BackgroundImplementation science research, especially when using participatory and co-design approaches, raises unique challenges for research ethics committees. Such challenges may be poorly addressed by approval and governance mechanisms that were developed for more traditional research approaches such as randomised controlled trials.DiscussionImplementation science commonly involves the partnership of researchers and stakeholders, attempting to understand and encourage uptake of completed or piloted research. A co-creation approach involves collaboration between researchers and end users from the onset, in question framing, research design and delivery, (...) and influencing strategy, with implementation and broader dissemination strategies part of its design from gestation. A defining feature of co-creation is its emergent and adaptive nature, making detailed pre-specification of interventions and outcome measures impossible. This methodology sits oddly with ethics committee protocols that require precise pre-definition of interventions, mode of delivery, outcome measurements, and the role of study participants. But the strict requirements of ethics committees were developed for a purpose – to protect participants from harm and help ensure the rigour and transparency of studies. We propose some guiding principles to help square this circle. First, ethics committees should acknowledge and celebrate the diversity of research approaches, both formally and informally ; without active support, their members may not understand or value participatory designs. Second, ground rules should be established for co-design applications and communicated to committee members and stakeholders. Third, the benefits of power-sharing should be recognised and credit given to measures likely to support this important goal, especially in research with vulnerable communities. Co-design is considered best practice, for example, in research involving indigenous peoples in New Zealand, Australia and Canada. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Moments of Beating Addiction and Inscription in Virginia Woolf’s “A Sketch of the Past”Barbara Claire Freeman (bio)My title, which alludes to the collection of autobiographical essays authored by Virginia Woolf and entitled Moments of Being, implies that being and beating are co-constitutive and that exploring their interdependence may shed light upon the logic that binds the one to the other. In particular, I want to examine the ways (...) in which Woolf’s “A Sketch of the Past”—it is the longest essay in the collection and presumably incomplete, since Woolf wrote the last entry shortly before killing herself in 1941—sets up a complex relationship between beating, writing, and compulsion. For the text in which the phrase “moment of being” first occurs also reveals that the activity of writing, to which Woolf was addicted, has the symbolic valence of beating and functions at the level of language in the same ways that beating functions on the body. I will begin to unpack this perhaps obscure equation by focusing upon the relationship between being and beating in the experiences that define Woolf’s “moments of being.” 1In the opening pages of “A Sketch,” Woolf describes the routine, eminently forgettable aspects of daily life as “a kind of nondescript cotton wool”; the phrase is her “private shorthand” for the general and diffuse “moments of non-being” that predominate in daily life and in which, by contrast, “moments of being” are “embedded” [70]. “Every day,” Woolf notes, “includes much more non-being than being”; and although “the real novelist can somehow convey both sorts of being” [70], Woolf believes that “behind the cotton wool is hidden a pattern” [72] and that her vocation as a writer is to discover and communicate it.Though occasionally “moments of being” produce the experience of rapture or ecstasy, an aspect of beating I will presently explore, most frequently they name moments that entail negation and self-shattering. “Moments of being” are moments of extreme violence that “remain interesting” [78] not because they lead to self-transcendence or discovery, but because they provoke a sense of utter helplessness and paralysis. With one exception, Woolf’s “moments” involve memories of being beaten up by life: “a sudden violent shock” occurs “when something happened so violently that I have remembered it all my life” [71]. Woolf’s submission to her brother Thoby’s beating remains in her memory as inaugural:The first: I was fighting with Thoby on the lawn. We were pommelling each other with our fists. Just as I raised my fist to hit him, I felt: why hurt another person? I dropped my hand instantly, and stood there, and let him beat me. I remember the feeling. It was a feeling of hopeless sadness. It was as if I became aware of [End Page 65] something terrible; and of my own powerlessness. I slunk off alone, feeling horribly depressed.[71]The shock of a beating occasions Woolf’s knowledge that rupture may function as a form of revelation; its reception initiates a drive to repeat in words the impact and imprint of the blows she has received. Being beaten not only provides her with a paradigm of being, but institutes a reciprocal and necessary relationship between beating and writing in which the one elicits and engenders the other. 2Another “moment” recounts the experience of being “dragged down, hopelessly, into some pit of absolute despair from which I could not escape” upon hearing about the suicide of a family friend, a certain Mr. Valpy:I overheard my father or mother say that Mr. Valpy had killed himself. The next thing I remember is being in the garden at night and walking on the path by the apple tree. It seemed to me that the apple tree was connected with the horror of Mr. Valpy’s suicide. I could not pass it. I stood there looking at the grey-green creases of the bark—it was a moonlit night—in a trance of horror.... My body seemed paralysed.[71]As Woolf’s body received her brother’s blows, her consciousness receives the shock of overhearing news of a suicide. The memory of Mr... (shrink)

It is often argued that the combination of deflationism about truth and the truth-conditional theory of meaning is impossible for reasons of circularity. I distinguish, and reject, two strains of circularity argument. Arguments of the first strain hold that the combination has a circular account of the order in which one comes to know the meaning of a sentence and comes to know its truth condition. I show that these arguments fail to identify any circularity. Arguments of the second strain (...) hold that the combination has a circular explanation of the ideas or concepts of meaning and truth. I show that these arguments identify a genuine, but acceptable, circularity. (shrink)

Recent theorizing about the nature of the cognitive impairment in autism suggests that autistic individuals display abnormally weak central coherence, the capacity to integrate information in order to make sense of one’s environment. Our article shows the relevance of computational models of coherence to the understanding of weak central coherence. Using a theory of coherence as constraint satisfaction, we show how weak coherence can be simulated ina a connectionist network that has unusually high inhibition compared to excitation. This connectionist model (...) simulates autistic behaviour on both the false belief task and the homograph task. (shrink)

International humanitarian law and international human rights law both prohibit the use of child soldiers in armed conflict. The protection afforded to children is problematic because the age a child may become a soldier and what constitutes child “soldiering” fluctuates between States and cultures. Differing levels of children soldiers’ protection leave them vulnerable to particular abuses. This paper examines some different attitudes and approaches towards the use of child soldiers and concludes that international human rights law and international humanitarian law (...) does not adequately protect children. (shrink)

The research presented in this paper used a case study approach to concentrate on the critical thinking preparation and skill sets of professors who, in turn, were expected to develop those same skills in their students. The authors interviewed community college instructors from both academic and work force disciplines. In general, the results of the study supported the researchers’ hypothesis that the ability to teach critical thinking was not necessarily intrinsic to a teaching professional. The authors of this study would (...) like to suggest the following as a means of strengthening critical thinking expertise in faculty:1. Analyze current levels of critical thinking skills among faculty.2. Plan opportunities to bolster personal critical thinking knowledge within faculty ranks and develop a common critical thinking language among faculty.3. Assist faculty where necessary to develop new instructional models to strengthen critical thinking within their classrooms and critical thinking assessment instruments. (shrink)

The development of a `theory of mind' may not only be important for understanding the minds of others but also for using one's own mind. To investigate this supposition, forty children between the ages of three and four were given false-belief and creativity tasks. The numbers of appropriate and of original responses in the creativity test were found to correlate positively with performance on false-belief tasks. This association was robust, as it continued to be strong and significant even when age (...) and verbal intelligence were partialled out. The results support the hypothesis that the metarepresentational skills involved in theory of mind also affect the way children can access and scan their own mental repertoire beyond the areas of currently activated content (i.e. divergent thinking). With the advent of theory of mind a basic cognitive shift takes place in human development, and possibly took place in cognitive evolution. (shrink)

In french and english speaking countries, the articulation between epistemological beliefs, conceptions of teaching and learning and pedagogical practices of secondary school teachers in the natural sciences and humanities has been little studied (Araújo-Oliveira, 2012 ; Bartos et Lederman, 2014 ; Wanlin et al., 2019). Yet, while teachers display predominantly constructivist beliefs about teaching and learning, their teaching practices remain rather passive (OECD, 2019). Like in Therriault et al. (2018-2023), this article explores the characteristics of epistemological beliefs, conceptions of teaching (...) and learning, and teaching practices among a population of 112 secondary school teachers (beginners, intermediate and experienced) in the humanities and natural sciences in French-speaking Belgium. In a second step, we explore the articulations between these three theoretical constructs either from statistical analyses or from a more interpretative perspective. Quantitative analysis of the data (PCA, factorial ANOVA, correlations and Chi-square) show that teachers’ epistemological beliefs are rather refined, that there is an effect of professional seniority on these beliefs and that there is a link between refined epistemological beliefs and traditional conceptions of teaching and learning. Finally, teachers’ self-reported practices appear to be insensitive to the discipline being taught. (shrink)

Education and cognition research today generally recognize the tri-dimensional nature of reasoning processes as involving cognitive, social and emotional phenomena. However, there is so far no theoretical framework articulating these three dimensions from a descriptive perspective. This paper aims at presenting a first model of how group emotions work in collective reasoning, and specifies their social and cognitive functions. This model is inspired both from a multidisciplinary literature review and our extensive previous empirical work on an international corpus of videotaped (...) student debates. The cognitive function of emotions is defined in reference to the process of schematization and associated emotional framing. On the other hand, the social function of emotions refers to recognition-oriented behaviors that correspond to engagement into specific types of group talk, implying specific politeness rules or face-preservation systems. We believe that our multi-dimensional and multi-level approach to group reasoning, which mostly employs a linguistic perspective, can be applied to a diversity of contexts. We hope it will serve as a basis for further discussion on the role of emotions in reasoning among the interdisciplinary community of argumentation studies. (shrink)

Before we respond to Tamara Browne's proposal for an external ethics advisory review panel to oversee content in the Diagnostic and Statistical Manual of Mental Disorders, we wish to introduce ourselves. One of us is a professor of bioethics, a lawyer, and a doctor of public policy, and one of us is a philosopher of psychiatry who studies psychiatric nosology, and who has done bioethics work for two congressional advisory agencies. Based on our backgrounds, we flatter ourselves that we might (...) be considered as members of the DSM ethical review panel Browne proposes. However, we realize that one of us would likely be ineligible because of a lack of experience in psychiatry, and the other would... (shrink)

The objective of the study was to explore parental experiences of being offered participation in a previous neonatal research study involving venepuncture. The method employed was a questionnaire-based exploration of parents' attitudes in those approached to participate in a study of term and preterm immunization responses (Preterm Immunisation Study [PREMIS]). We explored experience of the initial approach, knowledge of study, venepuncture and views on research ‘in general’. In all, 59% of families responded. Highest response rates were for those participating in (...) PREMIS (87% term/69% preterm) and lowest in decliners (34% and 35%). Responding parents participating in PREMIS were well informed, positive about research and did not find the venepuncture problematic. Sixty percent of responding parents who declined PREMIS attributed their declining to the need for venepuncture. In conclusion, parents participating or declining a neonatal study involving venepuncture are different, but participating parents were well informed and seemed able to judge that participation was right for them such that in consenting families venepuncture itself is not problematic. (shrink)

Gender, Power and Sexuality is a collection of original and exciting articles by well-known feminists which makes a major contribution to our understanding of the ways in which men exercise control over girls and women in their daily lives, in the home, at school, at work and in the courts. Women are seen to resent and challenge male power, but, the institutionalisation of male power is shown to mitigate against women taking control over their own lives.

Dans le domaine du placement d’enfants, la loi de 1996 préconisant le maintien de la communauté de vie des frères et sœurs est souvent comprise comme une injonction sine qua non. Cet article se fait l’écho des observations d’une équipe pluridisciplinaire (éducateurs, psychologue, psychanalyste) engagée depuis de longues années dans l’accueil familial qui dévoilent, à travers une analyse à la fois quantitative et clinique, une réalité qui vient nuancer cet impératif. Les auteurs montrent que, dans un certain nombre de cas, (...) le maintien de la communauté de vie de la fratrie contribue à l’entretien de la pathologie des liens familiaux et à l’aliénation du sujet. Pourtant, il est possible d’imaginer des dispositifs où séparation de la fratrie n’est pas synonyme de rupture des liens fraternels. (shrink)

Around the world, unhealthy diets are a leading cause of disease. Shifting population diets in a healthier direction will require downstream policy interventions. This means changing the composition of the processed food supply, particularly reducing salt, sugar and fat. Mandatory nutrient limits imposed by government are one way of achieving this. However, they have been criticized as a particularly intrusive regulatory option, interfering with both free markets and free choices. At the same time, voluntary industry reformulation has become an intervention (...) favoured by national governments, the World Health Organization and the food industry. This article uses a comparison of the two interventions—which share a common public health goal, albeit achieved through different regulatory means—as a basis to evaluate the ethical charges against mandatory nutrient limits. It makes three main findings: that both affect free dietary choice in very similar ways; that dominant public health ethics frameworks are not well equipped to compare mandatory and voluntary forms of regulation; and that food governance is inherently multisectoral, involving markets, governments and the public. Taking these findings into account, the article calls for a more nuanced ethical evaluation of food reformulation policies. (shrink)

Based on a sociological survey carried out in a camp for asylum seekers in Belgium, the article questions the modes of existence in this “out of place” and “out of time” that is the camp. Behind the apparent emptiness of waiting in a decelerated present, the investigation highlights three temporalities that together shape the breathing of the camp and the living conditions of asylum seekers: the rhythm of the framework that holds together daily life, the cycle and the passage that (...) gives a sense of the ordeal and finally the singular time of the articulations between present, past and future which characterize the “being in time” of asylum seekers. After exploring these three temporalities, the author proposes a concept that allows them to hold together in order to understand the texture of time that unfolds in these “out of place”, “out of time” that are the camps. (shrink)

La pensée d’Anne Fausto-Sterling, biologiste reconnue dans l’espace anglophone, historienne des sciences et professeure à l’université de Brown (Rhode Island), est enfin accessible au lectorat français. La traduction de Sexing the Body, publié en 2000 aux États-Unis a été initiée par l’Institut Émilie du Châtelet pour le développement et la diffusion des études sur les femmes, le sexe et le genre et financée par la Région Ile-de-France. Dans sa préface américaine, l’auteure rappelle combien d...

Les situations de séparation conflictuelle entre parents peuvent provoquer une rupture du lien entre l’enfant et un de ses parents. L’espace de rencontre ( er ), en mettant en place des droits de visite encadrés, est alors le dernier recours de ces parents pour retisser un lien. Dans l’ er dont il est question dans cet article, les visites concernent principalement le père, la mère étant alors le parent gardien. Dans ce cadre ont été rencontrés des enfants qui affichaient une (...) volonté de rompre tout lien avec leur père, ce refus massif s’apparentant à un clivage de loyauté. Pour comprendre cette attitude, l’article interroge, à travers le cas de Marie, la dimension psychosociale de la fonction paternelle, la dimension intrapsychique et la dynamique relationnelle dans cette triade père-mère-enfant afin d’envisager le dispositif à mettre en place dans les situations de conflit de loyauté. (shrink)

The figure of Thomas More and his work Utopia have followed chaotic but often separate fates all along history. More wrote his Utopia in 1515, when he was under forty years of age and, more important, before the first expressions of the Lutheran movement in England. Ten years after the first edition of Utopia, Europe had become a different world, often a much more hostile one, a place in which Thomas More assured he would not have repeated the same adventure. (...) In 1532, when busy writing his great polemical work against William Tyndale, More went as far as thinking that Utopia, like Erasmus’s Praise of Folly, might have become subversive and the books needed to be destroyed. He added that he would “helpe to burne... (shrink)

Après l’odorat, la vue, l’ouïe, Alain Corbin, « historien du sensible », s’attache à un nouveau domaine d’étude relevant des sensibilités et de l’imaginaire, celui du plaisir des sens. Adoptant la démarche d’anthropologie historique qui lui est familière, il décrypte les différentes représentations (essentiellement masculines) de la jouissance au sein du couple hétérosexuel dans l’espace francophone de tradition catholique entre 1770 et les années 1860. Pour mener ce voyage dans le temps, il...

Née en 1943 à Alger, Andrée Job-Querzola poursuit des études de lettres à Aix-en-Provence puis à Paris dans les années 1960. Devenue enseignante, elle gravite dans la mouvance féministe et d’extrême gauche et participe activement aux événements de Mai. Marquée par les luttes féministes des années 1970, en particulier celles du MLF, du MLAC, du MFPF, elle souhaite rendre hommage aux femmes de sa génération – « une génération rebelle » qui, selon elle, sonne le glas de « générations de (...) femmes f... (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

"L'usage substantivé du mot 'soi' est intriguant. Le pronom tonique 'soi' ne pose pas de problème particulier dans les expressions comme 'prendre soin de soi', 'compter sur soi' ou 'être hors de soi'. Mais parler d'un 'soi', c'est aller au-delà de la réalité grammaticale et supposer une identité personnelle à travers la diversité des expériences. Or, l'idée de soi et la croyance en l'identité personnelle ont été mises en question par David Hume, dont les arguments résonnent toujours dans la philosophie (...) contemporaine. Le but de ce livre est double : montrer, en historiens de la philosophie, de quelle façon le philosophe britannique a répondu à ces problèmes, et évaluer la fécondité de ces résultats pour les sciences de l'esprit."--Page 4 of cover. (shrink)

L’interrogation sur les âges de la vie et en particulier sur la vieillesse, relancée et reconfigurée par les avancées spectaculaires des sciences médicales des cinquante dernières années, fait partie de ces interrogations qui gagnent à être appréhendées sous le double point de vue de l’histoire de la philosophie et de la médecine, d’une part, et de la réflexion contemporaine sur le phénomène de la médicalisation de l’existence, d’autre part. Nul ne doutera qu’il est nécessaire désormais de ré..

Subversive Pedagogies draws attention to creative and critical pedagogies as a resource for engaging pressing problems in global politics. The collection explores the radical potential of pedagogy to transform students, scholars, citizens and institutions. It brings together scholars and students from a range of disciplinary backgrounds, including international relations, political science, indigenous studies, feminist theory and theatre studies, as well as practitioners in theatre and the arts. These diverse voices explore innovative pedagogical practices that extend our understanding of where pedagogy (...) happens, invite critical assessment of the ways the neoliberal university shapes and restricts pedagogical engagement, and offer both theoretical and practical tools to explore more creative and broader understandings of what pedagogy can and should do. (shrink)

During the publication process of above mentioned article the Notes to Figures 1, 2, 3, and 4 were erroneously deleted from the figure legends. The correct versions are given below.

Cet ouvrage est issu de la thèse soutenue par Robert Sommer à l’Université Humboldt de Berlin en 2006. Il s’agit d’un travail entièrement original sur un sujet absent de la recherche, à l’exception de l’enquête pionnière de Christa Paul en 1994. Mais avant la somme de Robert Sommer on ne disposait d’aucune étude systématique de cette ampleur. C’est chose faite avec la minutie et la rigueur adéquates au genre. Par un décret du 9 septembre 1939, Reinhard Heydrich, chef de l’Office (...) central de l... (shrink)

This article looks at the ways in which Spanish American women exploited the political and social turmoil of the late 18th and early 19th centuries to move beyond their traditional sphere of influence in the home. Women directly participated in the Túpac Amaru Rebellion (1780–1781) and in the Wars of Independence (1810–1825) providing funding, food supplies, infrastructure and reinforcements for the troops, and nursing the wounded. Others contributed by taking part in the physical fighting (both openly and disguised as men) (...) and a few led troops into battle. This article looks at some of the individuals behind the statistics and reveals their determination to participate despite the punishments imposed on women found guilty of disloyalty to the Spanish crown. Spanish colonial law had to be amended to ensure that women dissidents were given as equally harsh sentences as men. In the immediate post-independence period, rather than be seen as misfits or a threat to the patriarchal system, several of these women were given national awards. (shrink)