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

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

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

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

Le problème historique majeur posé par l’étude de la prostitution à Rome est celui de l’existence de prostitué(e)s libres dans une société esclavagiste. Puisque des corps serviles, ou affranchis, masculins et féminins étaient disponibles en grand nombre, aussi bien dans les demeures des hommes libres que dans les maisons de prostitution, comment se fait-il que des femmes nées libres aient renoncé à leurs privilèges et statut de matrones? Comment se fait-il aussi que la société ait institutionnalisé ce renoncement en prévoyant (...) d’enregistrer officiellement ces prostituées d’origine libre? L’explication proposée ici est que les prostitué(e)s libres assument une fonction symbolique qui est d’être l’autre du soldat comme l’acteur est l’autre de l’orateur. Ces « parias » de la société romaine, toujours « efféminés » servent à marquer les marges de l’humanité civilisée dans la continuité, à définir les hommes, libres et adultes et donc « masculins » par ce qu’ils ne sont pas mais ce qu’ils pourraient par malheur, devenir des « effeminés » ou leur équivalent, des prostituées libres. (shrink)

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

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

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

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

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

« Tout se découvre dans le besoin [?] le besoin institue la première contradiction [?] avec l?organisme [?] le temps dialectique est entré dans l?être puisque l?être vivant ne peut persévérer qu?en se renouvelant » 1 . Dans la Critique de la Raison dialectique , besoin et organisme constituent les points de départ de l?exposition sartrienne de la praxis individuelle et donc, par suite, de l?exposition de la praxis historique concrète, saisie avec toutes ses déterminations. Or ce point de départ, (...) qui permet de saisir la dialectique à son niveau pour ainsi dire le plus élémentaire ou abstrait, demeure vraisemblablement décisif pour la totalité du texte : bien après le Livre I de la Critique , le livre III, qui s?est hissé au niveau de la compréhension de la conflictualité et des luttes, se replace d?un bond au plan de l?émergence de la praxis ou de l?action ? au plan de la vie organique ? et conclut sa troisième section en réaffirmant que la détermination première de la praxis historique, c?est la nécessité de « sauver la vie », de perpétuer la vie 2 , nécessité liée au caractère indépassable de l?expérience de la rareté, c?est-à-dire du besoin. Cette boucle opérée dans l?exposition est certes caractéristique de la mise en ?uvre d?une rationalité dialectique, mais elle témoigne aussi de l?importance que Sartre accorde à la vie dans le déploiement de celle-ci. (shrink)

"An impressively reasoned and startlingly unorthodox treatise on religion." - Belles Lettres Florence Nightingale (1820-1920) is famous as the heroine of the Crimean War and later as a campaigner for health care founded on a clean environment and good nursing. Though best known for her pioneering demonstration that disease rather than wounds killed most soldiers, she was also heavily allied to social reform movements and to feminist protest against the enforced idleness of middle-class women. This original edition provides bold (...) new insights into Nightingale's beliefs and a new picture of the relationship between feminism and religion. Suggestions for Thought to the Searchers after Truth Among the Artisans of England (1860), which contains the novel Cassandra , is a central text in 19th-century history of feminist thought and is published here for the first time. Nightingale argues that work was the means by which every individual sought self-fulfillment and served God. She wrote influentially about the group most Victorians declared to be above work: unmarried, middle-class women. (shrink)

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

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

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

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

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

In the shadow of various business scandals and societal crises, scholars and practitioners have developed a growing interest in authentic leadership. This approach to leadership assumes that leaders may access and leverage their “true selves” and “core values” and that the combination of these two elements forms the basis from which they act resolutely, lead ethically, and benefit others. Drawing on Heidegger’s work, we argue that a concern for authenticity can indeed instigate a leadership ethic, albeit one that acknowledges the (...) unfounded openness of existence and its inherent relationality. On this basis, we propose an ethics-as-practice approach in which leaders respond to the situation at hand by being “attuned to attunement,” which cultivates an openness to otherness and a responsibility to others. (shrink)

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

Florence Larocque et Anne-Marie Reynaud.

Transgender conversion practices involve attempts to alter, discourage, or suppress a person’s gender identity and/or desired gender presentation, including by delaying or preventing gender transition. Proponents of the practices have argued that they should be allowed until proven to be harmful. Drawing on the notion of expressive equality, I argue that conversion practices are prima facie unethical because they do not fulfill a legitimate clinical purpose and conflict with the self-understanding of trans communities.

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

Dans cette vignette clinique, l’auteur évoque une patiente ayant eu une sœur trisomique à laquelle elle a été « collée ». Elle montre la collusion à l’œuvre d’une génération à l’autre autour de la reproduction de l’indifférenciation dans une danse mortifère et étouffante.

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

Efforts to recruit and retain farmers have traditionally supported the farm business through a focus on access to land, capital, and business skills. While these efforts are critical, a small body of work indicates that these may be insufficient because they rarely account for the social and economic needs of farm households and how the (in)ability to meet these needs interacts with the development and economic viability of the farm enterprise. Social and economic needs include, but are not limited to (...) access to health insurance and health care, childcare, adequate household and retirement income, affordable housing, and food security. This article introduces a symposium intended to shed light on these underappreciated needs and how they connect to the farm enterprise. We contend that a greater understanding of farm households’ lived realities meeting their social and economic needs could lead to a paradigm shift in how we understand and support farm families’ resilience. We set the stage for the eight articles in this symposium in two ways. First, we present the theoretical and empirical reasons why considering household-level needs is crucial when working towards supporting the agricultural sector. Second, we review the literature on farm households’ social and economic needs. We then thematically summarize the key insights from the eight articles. Despite variations in topics studied, research designs, and geographical contexts, we note a clear pattern in what the authors see as the implications of their findings. Namely, they reaffirm the need to challenge the traditional view that separates household needs from farm enterprise activities and outcomes. Their collective call for stronger social and agricultural programs and policies is noteworthy and may in part be connected to the structural underpinnings of the challenges meeting social and economic needs highlighted across the articles. (shrink)

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