The morning-after pill has been promoted as a solution to the growing teenage sexual health problem being witnessed in Scotland. The continuing increase in sexually transmitted infections (STIs), recorded in recent reports of the Scottish Centre for Infections and Environmental Health2, has come as a shock to members of the health profession across Scotland. Documenting a marked increase in teenage sexual activity, the report raises urgent questions about the impact of the “safe sex” message in our classrooms (...) and the Scottish Executive’s overall approach to teenage sexual health. One specific feature of this approach that has prompted concern from General Practitioners (GPs), parents and educators (and others) has been the official policy on the promotion of the morning-after pill as a method of contraception. When appropriately initiated within 72 hours of unprotected coitus, emergency contraception will prevent approximately 80% of pregnancies in teens and young women who are mid-cycle and, thus, at risk of pregnancy.3 But this policy has not been based on a clear and rigorous understanding of the properties, the function and the efficacy of the morning-after pill. Neither has there been adequate and in-depth research on the short and long-term safety implications of the morning-after pill. In light of proposals to increase the availability of the morning-after pill, the overall aim of this Briefing Paper is: 1. to provide specific answers to the questions raised above, based on research evidence; and 2. to provide an independent source of information on the most recent research on the morning-after pill and STIs, for parents, teachers, politicians, members of the health and legal professions and other interested parties. (shrink)

abstract The so‐called ‘morning‐after pill’ is a drug that prevents pregnancy if taken no later than 72 hours after presumably fertile sexual intercourse. This article argues against a right of conscientious objection for pharmacists with regard to dispensing this drug. Some arguments that might be advanced in support of this right will be considered and rejected. Section 2 argues that from a philosophical point of view, the most relevant question is not whether the morning‐after (...) pill prevents implantation nor is it whether preventing implantation is tantamount to abortion. Section 3 suggests a more general philosophical question as most pertinent, namely whether and to what extent a pharmacist can justifiably be exempted from dispensing the morning‐after pill when to do so would entail participating in something that goes against his or her deepest moral or religious convictions. Section 4 explains why, within liberal institutions, pharmacists should not have the right to conscientious objection to dispensing the morning‐after pill. (shrink)

While the Value-Free Ideal of science has suffered compelling criticism, some advocates like Gregor Betz continue to argue that science policy advisors should avoid value judgments by hedging their hypotheses. This approach depends on a mistaken understanding of the relations between facts and values in regulatory science. My case study involves the morning-after pill Plan B and the “Drug Fact” that it “may” prevent implantation. I analyze the operative values, which I call zygote-centrism, responsible for this hedged (...) drug label. Then, I explain my twofold account of value-ladenness, involving the constitutive role of value judgments in science and the social function of facts as political tools. Because this drug fact is ineliminably value-laden in both senses, I conclude that hedged hypotheses are not necessarily value-free. (shrink)

Philosophers of science and medicine now aspire to provide useful, socially relevant accounts of mechanism. Existing accounts have forged the path by attending to mechanisms in historical context, scientific practice, the special sciences, and policy. Yet, their primary focus has been on more proximate issues related to therapeutic effectiveness. To take the next step toward social relevance, we must investigate the challenges facing researchers, clinicians, and policy makers involving values and social context. Accordingly, we learn valuable lessons about the connections (...) between mechanistic processes and more fundamental reasons for medical interventions, particularly moral, ethical, religious, and political concerns about health, agency, and power. This paper uses debates over the controversial morning-after pill to gain insight into the deeper reasons for the production and use of mechanistic knowledge throughout biomedical research, clinical practice, and governmental regulation. To practice socially relevant philosophy of science, I argue that we need to account for mechanistic knowledge beyond immediate effectiveness, such as how it can also provide moral guidance, aid ethical categorization in the clinic, and function as a political instrument. Such insights have implications for medical epistemology, including the value-laden dimensions of mechanistic reasoning and the “epistemic friction” of values. Furthermore, there are broader impacts for teaching research ethics and understanding the role of science advisors as political advocates. (shrink)

Citing grounds of conscience, pharmacists are increasingly refusing to fill prescriptions for emergency contraception, or the "morning-after pill." Whether correctly or not, these pharmacists believe that emergency contraception either constitutes the destruction of post-conception human life, or poses a significant risk of such destruction. We argue that the liberty of conscientious refusal grounds a strong moral claim, one that cannot be defeated solely by consideration of the interests of those seeking medication. We examine, and find lacking, five (...) arguments for requiring pharmacists to fill prescriptions. However, we argue that in their professional context, pharmacists benefit from liberty restrictions on those seeking medication. What would otherwise amount to very strong claims can be defeated if they rest on some prior restriction of the liberty of others. We conclude that the issue of what policy should require pharmacists to do must be settled by way of a theory of second best. Asking "What is second best?" rather than "What is best?" offers a way to navigate the liberty restrictions that may be fixed obstacles to optimality. (shrink)

Among feminist philosophers, there are two lines of argument that sexist values are illegitimate in science, focusing on epistemic or ethical problems. This article supports a third framework, elucidating how value-laden science can enable epistemic oppression. My analysis demonstrates how purported knowledge laden with sexist values can compromise epistemic autonomy and contribute to paternalism and misogyny. I exemplify these epistemic wrongs with a case study of the morning-after pill during its 2006 switch to over-the-counter availability and its (...) new drug label from the US Food and Drug Administration that it “may prevent implantation.” Antiabortion science advisers created this label to protect zygotes based on debated value judgments that were later concealed. This zygote-centric knowledge enabled them to shape potential users by instructing “good mothers” that they ought to protect zygotes and punishing “bad mothers” by refusing their requests for the drug. Therefore, I argue that the sexist values and gender norms of antiabortionists that prioritize zygotic health are illegitimate in this context because they cause epistemic injustices and perpetuate epistemic oppression. Furthermore, I advocate against blanket protections for the “right to conscience” and “religious freedom” of healthcare providers because they reinforce the epistemic oppression of women, especially those on the margins.Content Warning: This article discusses sexual assault and refusals to provide contraception to patients, including survivors. (shrink)

Background: In the last decades, there have been important developments in the scientific and technological areas of healthcare. On certain occasions this provokes conflict between the patients' rights and the values of healthcare professionals which brings about, within this clinical relationship, the problem of conscientious objection. Aims: To learn the opinions that the Nurses of the Madrid Autonomous Community have regarding conscientious objection. Research design: Cross-cutting descriptive study. Participants and research context: The nurses of 9 hospitals and 12 Health Centers (...) in the Madrid Autonomous Community. The study was done by means of an auto completed anonymous questionnaire. The variables studied were social-demographical and their opinions about conscientious objections. Ethical considerations: The study was approved by the Ethical Community of Clinical Research of the University Hospital Príncipe de Asturias. Participants were assured of maximum confidentiality and anonymity. Findings: A total of 421 nurses answered the questionnaire. In total, 55.6% of the nurses confirmed they were religious believers, and 64.3% declared having poor knowledge regarding conscientious objection. The matters that caused the greatest objections were voluntary abortions, genetic embryo selection, refusal of blood transfusions, and therapy refusal. Discussion: Different authors state that the most significant cases of conscientious objections for health professionals are those regarding carrying out or assisting in abortions, euthanasia, the practice of assisted reproduction and, finally, the prescription and dispensing of the morning-after pill. In our study, the most significant cases in which the nurses would declare conscientious objections would be the refusal to accept treatment, the selection of embryos after genetic diagnosis preimplantation, the patient’s refusal to receive blood transfusions due to religious reasons and pregnant women’s request for voluntary abortions within the first 14 weeks. Conclusion: Nurses’ religious beliefs influence their opinions regarding conscientious objection. The nurses who declare themselves as religious believers object in a higher percentage than those without religious beliefs. (shrink)

Emergency contraception — also known as the morning after pill — is marketed and sold, under various brand names, in over one hundred countries around the world. In some countries, customers can purchase the drug without a prescription. In others, a prescription must be presented to a licensed pharmacist. In virtually all of these countries, pharmacists are the last link in the chain of delivery. This article examines and ultimately rejects several standard moves in the bioethics literature (...) on the right of pharmacists conscientiously to refuse to dispense emergency contraception. Its central thesis is that the standard ‘moderate’ solution to this problem is mistaken. Thus, when all publicly relevant interests are given their due, it is not acceptable to allow refusals in the big city, where pharmacies are plentiful, but forbid them in rural settings, where pharmacies are scarce. Rather, there should be strong public policy requiring that all pharmacists dispense emergency contraception to customers who request it, regardless of pharmacists' moral or religious objections. (shrink)

The US Food and Drug Administration (FDA) is fraught with controversies over the role of values and politics in regulatory science, especially with drugs in the realm of reproductive health. Philosophers and science studies scholars have investigated the ways in which social context shapes medical knowledge through value judgments, and feminist scholars and activists have criticized sexism and injustice in reproductive medicine. Nonetheless, there has been no systematic study of values and gender norms in FDA drug regulation. I focus on (...) three questions about values in regulatory science. First, how have societal values and gender norms shaped the way that the FDA regulates drugs in the realm of reproductive health, specifically with drug labels? Second, what are the ethical, epistemic, and social consequences of these influences on regulation for women and other marginalized groups? Third, which societal values and gender norms ought to influence drug regulation about reproductive health, and how ought this happen? Integrating philosophical analysis with historical archival research and in-depth interviews, I conduct three case studies of drug labeling about reproductive health: (1) the “drug fact” about the mechanism of the morning-after pill; (2) the package inserts for patients about the health risks of oral contraceptives; and (3) the special physician labels made for prescribing drugs to pregnant women. I identify three challenges for the FDA and suggest ways to reduce the influence of sexist values and facilitate feminist alternatives. First, across these cases, I have found that there are many ways in which other concerns in reproductive medicine (such as zygotic life, fetal health, and population control) have devalued women’s health. Second, both knowledge and ignorance xvi about their reproductive health have contributed to women’s oppression, especially poor women and women of color. Finally, by avoiding the epistemic dimensions of ethics, powerful, mostly male parties in medicine (such as doctors, pharmaceutical companies, and religious institutions) have misused “informed consent,” “religious freedom,” and “paternalism” for unethical purposes. For improvement, I suggest extracting sexist values and gender norms from regulatory science that cause epistemic injustices, and I point to success stories for reforming sexism with feminism at the FDA. (shrink)

Some proponents of the pro-life movement argue against morning after pills, IUDs, and contraceptive pills on grounds of a concern for causing embryonic death. What has gone unnoticed, however, is that the pro-life line of argumentation can be extended to the rhythm method of contraception as well. Given certain plausible empirical assumptions, the rhythm method may well be responsible for a much higher number of embryonic deaths than some other contraceptive techniques.

Some of the causes of the 'sexual revolution' during the past few decades are widely known: The development of relatively safe and reliable contraceptives, especially the birth-control pill; the 'morning after' pill; antibiotics to relieve or cure sexually transmitted diseases such as gonorrhea, herpes, and syphilis; the increased social acceptance of pre-marital sex, homosexuality, and other behaviors that formerly were considered deviant; and the legalization of abortion as the ultimate 'contraceptive'. But little attention has been paid (...) to two rather cerebral factors relevant to these developments – namely, ethical theories, and theories of overpopulation. In this paper I will argue that these two less well-known and more subtle factors have been at least as powerful as the more obvious factors mentioned above, in bringing about sea-changes in sexual mores. More specifically, I will argue that some implicit approaches to ethical theory are more conducive than others to bringing about the present status quo in sexual mores, and that the widespread belief in world overpopulation has not only changed the moral climate regarding sexuality, but has helped to redefine what is moral and what is immoral. (shrink)

In order for the Food and Drug Administration to receive the trust and deference it needs to accomplish its mission, it must be seen as relatively impervious to political manipulation. For most of the FDA’s history, it has been seen as an institution driven by scientific expertise, not by political maneuvering. However, the FDA was increasingly criticized during the Bush administration for politicizing decisions such as rejecting an application to grant the “morning after pill,” known as Plan (...) B, over-the-counter status for women of all ages. After an atypical approval process, the FDA approved OTC Plan B use only for women over the age of 18. Because some groups perceive the morning after pill as a form of abortion, the politically appointed leadership of the FDA was suspected of dramatically departing from normal FDA procedures in order to ensure that the application would not be approved. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Kennedy Institute of Ethics Journal 16.4 (2006) 379-396MuseSearchJournalsThis JournalContents[Access article in PDF]Pharmacists and Conscientious Objection *In March 2005, a Wisconsin pharmacist's act of conscience garnered headlines across the United States. After a married woman with four children submitted a prescription for the morning-after pill, the pharmacist, Neil Noesen, not only refused to fill it, but also refused to transfer the prescription to another pharmacist or (...) to return the prescription to the customer. As more such incidents occurred, many states "... decided to consider and enact laws setting the bounds of pharmacists' and other health care workers' professional obligations" (III, Grady 2006, p. 327). Discussions of objector legislation, also referred to as "conscience clauses," "refusal clauses," and "abandonment laws" (III, Appel 2005, p. 279), are not limited to professional ethics, but also draw from philosophical, theological, and legal perspectives. The purpose of this Scope Note is to present a wide variety of viewpoints on the health provider's right to conscience.More than 40 years ago the development of "The Pill" as the first reliable method of birth control not only ushered in a feminist revolution, but also provided a new focus for concerns of conscience for those who were part of the anti-abortion movement based on religious belief in the sanctity of life. Similarly, in the past ten years, worldwide, and seven years (1999) since the emergency contraception "morning after" pill first became available as a prescription item, there has been an upsurge in the number of medical personnel who refuse to prescribe or dispense it on grounds of personal conscience, whether for religious reasons or not. Their actions bring into play issues of power and control for health care personnel and for patients—in this case women, which also raises women's rights issues. Ironically, studies in France, Sweden, and the United Kingdom have shown that emergency contraception does not reduce the abortion rate—it is too infrequently used (II, Glasier 2006).It is important to underline the difference between the "morning-after" pill or "Plan B," which is made up of two progestin pills containing levonorgestrel (a synthetic derivative of the female hormone progesterone), and RU-486 (Mifiprex [End Page 379] or mifipristone with misoprostol). Plan B, if taken within 72 hours post-coitus prevents implantation, and therefore pregnancy, by suppressing the output of luteinizing hormone, the hormone that triggers the ovulation process. Scientists have been unable to determine whether this action could destroy already fertilized eggs, but even if it does, it uses the same mechanism as occurs with the birth-control pill, that was developed some 45 years ago. By contrast, RU-486 acts up to 49 days after implantation by blocking the action of progesterone in order to terminate the pregnancy and as such is an abortifacient (II, US FDA 1).On 24 August 2006, the U.S. Food and Drug Administration announced approval of the Plan B pill for over-the-counter (OTC ) sales (II, US FDA 2). Although this action makes the drug more widely available, it remains to be seen whether pharmacists who are conscientious objectors and who refuse to dispense it also will refuse to provide it OTC.A survey article by Rebecca Dresser (II, 2005, p. 9) succinctly sums up the problem for conscientious objectors: "Because emergency contraception can act to block implantation of a fertilized egg, people who believe in protection of human life after conception find it morally objectionable."When conscientious objections are raised over abortion or birth control services performed, prescribed, or dispensed, they affect not only the health professionals—physicians, pharmacists, nurses, and health technicians—who may object, as well as their colleagues and/or managers, but also the consumers: the female patients who are then forced to reconsider or to seek an alternative supplier, as well as their spouses or partners. Alta Charo (II, 2005, p. 2473) makes the point that the patient needs to have access to a system of counseling and referral "so... (shrink)

Luc Bovens, in his 2006 article, argues that it can be shown that the ‘rhythm' method of birth control results in a larger number of embryonic deaths than the IUD, the morning after pill or the combination oral contraceptive pill, just so long as one accepts his three ‘plausible’ assumptions. In this brief response I will argue that Boven's third assumption is not plausible when one takes into account a basic knowledge of human reproductive biology. Thus, (...) his argument, in both of its possible reconstructions, fails. (shrink)

Pharmacists who refuse to provide certain services or treatment for reasons of conscience have been criticized for failing to fulfil their professional obligations. Currently, individual pharmacists in Great Britain can withhold services or treatment for moral or religious reasons, provided they refer the patient to an alternative source. The most high-profile cases have concerned the refusal to supply emergency hormonal contraception, which will serve as an example in this article.I propose that the pharmacy profession's policy on conscientious objections should be (...) altered slightly. Building on the work of Brock and Wicclair, I argue that conscientious refusals should be acceptable provided that the patient is informed of the service, the patient is redirected to an alternative source, the refusal does not cause an unreasonable burden to the patient, and the reasons for the refusal are based on the core values of the profession. Finally, I argue that a principled categorical refusal by an individual pharmacist is not morally permissible. I claim that, contrary to current practice, a pharmacist cannot legitimately claim universal exemption from providing a standard service, even if that service is available elsewhere. (shrink)

A deregulation of medicines is currently underway in the U.K. and France. Emergency contraception has become available over the counter in pharmacies in both countries. This might constitute a further step in the liberalisation of contraception, something which has always received support from women’s organisations and from women themselves. It also forms part of a current revolution in patient behaviour. This article examines the law governing the deregulation of emergency contraception in the U.K. and France and assesses how far this (...) might serve to empower women to take control of their own reproductive health care provision. It considers some of the British feminist critiques of the limit to patient’s autonomy put forward by Sheldon(1998), Foster (1998), and Murphy (1998). (shrink)

Benefits to females of short-term mating have recently been identified, and it has been suggested that women have evolved adaptations for this strategy. One piece of evidence supporting such a female adaptation would be that women find the experience of a one-night stand as affectively positive as men. Individuals (N = 1,743) who had experienced a one-night stand were asked to rate aspects of their “morning after” feelings (six positive and six negative). Women were significantly more negative and (...) less positive than men. Although women did not especially view these relationships as a prelude to long-term relationships, they felt greater regret than men about having been “used.” Extra-pair copulations were rated more negatively, but not less positively, than singles’ experiences. There was no interaction between gender and mated status on positivity or negativity. Although, in terms of subsequent affective response, women do not seem well adapted to casual sexual encounters, it may be important to distinguish impelling sexual motivation preceding intercourse from later evaluations of the event. Menstrual cycle changes may also be important in altering the strength and target of sexual motivation. (shrink)

The article aims to approach the concept of moistmedia and the role of art practices in contemporary culture by combining ideas about perception, technology and art, through different authors like media theorist Marshall McLuhan, philosophers Maurice Merleau-Ponty, Martin Heidegger and Vilém Flusser, and anthopologists such as Constance Classen and David Howes. Thus, if we can understand perception as the genesis of sense and meaning (Merleau-Ponty), which is also culturally shaped (Classen, Howes), understanding the very nature of technology demands an understanding (...) of the modes of perception from which it has emerged. Being able to develop art propositions which may be relevant to our moistmedia times demands an understanding of the power artworks may still have for challenging technologically shaped cultural patterns of perception, in such a way as to foster new modes of consciousness, living at risk in a world of ever-present instability. (shrink)

Our goal was to test the efficiency and accuracy of a complementary morning report, after recall cue, of an experience made and first described during the night. Twenty participants were awakened 10 min after the onset of the second REM sleep. Upon awakening, on one night they described the dream they just had and on the other night they were presented a 4-min video, then had to describe it. A new description requested in the morning (...) class='Hi'>after a recall cue yielded an important amount of new information both for the film and the dreams, and for the film, where the accuracy could be checked, 86% of this new information was accurate. Some aspects of the results pointed to an effect of hypermnesia. In conclusion, the morning additional information after recall cue stems from a good access to the memory of the night experience. (shrink)

I argue that evolutionary debunking arguments are dialectically ineffective against a range of plausible positions regarding moral truth. I first distinguish debunking arguments which target the truth of moral judgements from those which target their justification. I take the latter to rest on the premise that such judgements can be given evolutionary explanations which do not invoke their truth. The challenge for the debunker is to bridge the gap between this premise and the conclusion that moral judgements are unjustified. (...) class='Hi'>After briefly discussing older attempts to bridge this gap, I focus on Joyce’s recent attempt, which rests on the claim that ‘we do not have a believable account of how moral facts could explain the mechanisms and forces which give rise to moral judgements’. I argue that whether or not there is such an account depends on what it is permissible to assume about moral truth in this context. Further, I suggest that it is reasonable to make assumptions about moral truth which allow for the possibility of at least partial moral epistemologies. The residual challenge for the debunker is to show that these assumptions are unreasonable in a way which doesn’t render their debunking argument superfluous. (shrink)

The social group named after the various discourses of individuals who define themselves as the champions of the men's rights movement on social media is called the “Manosphere” in the literature. “Oneitis”, a concept in the jargon of the manosphere, basically refers to a disease state used to represent situations in which a man invests excessive attention in a woman who is not equally interested in him. For the Red Pill movement, the most influential group in the manosphere, (...) oneitis is criticized as a pattern of behavior that should be avoided by men. Red Pill philosophy is also often associated with alt-right ideologies due to its anti-feminist and pragmatic views. Red Pill thought can therefore often be seen as contrasting with Woke Culture, a counter-cultural movement that advocates the constant practice of vigilance against political discourses that oppress certain social groups through structural mechanisms of oppression such as racism, anti-blackness, and anti-feminism. In this paper, I argue that the concept of oneitis, when suspended from its anti-feminist and commodifying contexts, can in fact be read as a critique of a conception of love that is deeply rooted in traditional gender roles that are often criticized from perspectives such as feminism or Woke Culture. When the liberation from oneitis is considered independently of the manosphere framework, it can be read as a critique of coercive social practices in terms of romantic relationships. (shrink)

This chapter canvasses several arguments for happy‐people‐pills. The argument turns on the idea that happy‐people‐pills will promote such fundamental prudential values as happiness, achievement, and virtue. Since happy‐people‐pills will promote wellbeing, this is a powerful reason to permit their use. In the chapter the case is first made that, far from diminishing autonomy, happy‐people‐pills will enhance autonomy. The chapter argues that happy‐people‐pills will increase the prudential good of individuals. After arguing that at a societal level wellbeing is, for the (...) most part, additive, the chapter goes on to examine an argument that happy‐people‐pills can be multiplicative: their use should encourage the acquisition and exercise of pro‐social virtues. So, not only will happy‐people‐pills benefit those who take them, but they should also promote the good of others. The multiplicative effect is a strong moral reason to suppose that we ought to use happy‐people‐pills. (shrink)

Abortion pill reversal treatment aims to halt an initiated medical abortion, wherein a pregnant woman takes progesterone after having taken the first of the two consecutive abortion pills, ty...

After the US Supreme Court’s reversal of Roe v. Wade, a number of states have immediately banned abortion. Pro-choice activists are responding by promoting medication abortions – a do-it-yourself form of abortion. Women can take pills at home to induce an abortion in the first few weeks of pregnancy. -/- The Biden Administration [1] has backed the abortion pill, too. Attorney-General Merrick B. Garland and Health and Human Services Secretary Xavier Becerra both issued statements endorsing it. -/- “We (...) stand ready to work with other arms of the federal government that seek to use their lawful authorities to protect and preserve access to reproductive care,” said the Attorney-General. “In particular, the F.D.A. has approved the use of the medication mifepristone. States may not ban mifepristone based on disagreement with the F.D.A.’s expert judgment about its safety and efficacy.” -/- As the New York Times [1] has noted, this sets the scene for legal battles. The obvious one is: will anti-abortion states prosecute medication abortions? -/- But – based on experience in the United Kingdom - the use of the abortion pill could give pro-life doctors headaches as well. -/- In the past year, UK has witnessed the saga of two Catholic doctors who have been brought in front of the professional regulator, the General Medical Council, after accusations of professional misconduct. Their crime? They had supplied abortion pill reversal (APR) treatment to women. Accusations of this misconduct have been brought forward by pro-choice organisations [2]. -/- The problem is that some women might panic when they discover that they are pregnant or are pressured to make a rash decision. They obtain abortion pills, often without seeing a doctor faceto- face, and soon after taking the first pill, they regret their decision. -/- Is it too late for them to save their pregnancy? Not necessarily. -/- A treatment developed in the US works about half the time. It involves the woman taking progesterone after the first abortion pill to counteract the abortifacient action of the drug. -/- Seventy-three women in the UK are reported to have taken a full APR course, of whom, 38 – more than half — successfully remained pregnant. Admittedly, the procedure is controversial [3], with pro-choice writers denouncing it as unproven, unscientific, and unethical. This has triggered some healthcare practitioners and scholars to analyse the commitments of the pro-choice movement to APR. In a recently published paper in The New Bioethics [4], two colleagues, Dominic Whitehouse and Steven Bow, and I argue that those espousing a pro-choice worldview should actually support abortion pill reversal and that the current evidence indicates that they should actually be doing it. -/- While some pro-choice activists might be happy simply to expand women’s reproductive choices, some might also want to ensure that these choices are safe and effective at achieving the desired outcome, which in principle includes maintaining a pregnancy. -/- We then review the scientific evidence with respect to the ability of APR to halt an abortion, look at the potential impact of APR on mental health, as well as its procedural safety. While highlighting that gold-standard evidence is lacking, we note that APR is associated with about two times higher rate of embryo survival compared to not completing the full early medical abortion course, that there is large agreement in the literature that women who are ambiguous about abortion are at risk of poorer mental health outcomes after abortion (and argue that women who request APR fall into this category), and highlight that there is no evidence that APR is more dangerous than abandoning an initiated early medical abortion. -/- The latter fact is important, as the results of the only randomised-controlled trial of APR have been at times misrepresented in the media [5.6], creating the impression that APR is not safe while most of the adverse effects occurred in the study group that did not receive APR. As our paper argues, with respect to APR the two UK doctors were “champions of women’s choice and should be congratulated, not condemned, by pro-choice advocates”. -/- While the cases against the two doctors have now been dropped (and there have even been accusations against a member of one of these pro-choice organisations that they pressurised a patient into complaining about one of the doctors and twisted the patient’s experience of the treatment [7]), we argue that it is important to set-up systems to facilitate the future provision of APR to protect both patients and healthcare staff. -/- Our conclusion is that, while being open to any change in evidence, those espousing a pro-choice outlook should “support calls for an APR framework that will protect women and the healthcare professionals caring for them” “and certainly not oppose” APR. -/- The debate over abortion pill reversal will be heading to the United States soon. It is quite possible that it will be denounced as dangerous misinformation. It’s not. But pro-life defenders should be prepared to defend their ground. -/- This article was first published by Mercatornet. (shrink)

Imagine a drug—let's call it Curebitt—that is safe, cheap, and very effective: take a pill once a day and you will be healthier. Curebitt's taste is so unpleasant, so bitter, however, that a significant proportion of patients cannot bring themselves to ingest the pill regularly. Now suppose that after some time, another drug, Curesweet, hits the market. This drug is clinically equivalent to Curebitt and costs the same, but it is much more palatable, so adherence rates for (...) it are significantly higher than for Curebitt. Should physicians continue prescribing Curebitt, now that Curesweet is available? No, prescribing the bitter pill puts patients at a greater risk of nonadherence and ultimately results in reduced clinical benefit for a significant proportion of patients, whereas prescribing Curesweet benefits more patients and increases the probability that any given patient's health will improve. The Curebitt versus Curesweet scenario draws our attention to how a physician can fail her patients by prescribing drugs with lower adherence rates when equivalent drugs with higher adherence rates are available. What does this fictional case tell us about the real world? A lot. We know that adherence rates vary with out‐of‐pocket costs. Name‐brand drugs carry higher out‐of‐pocket costs than their generic counterparts; as a result, when name‐brand drugs are prescribed rather than their generic counterparts, fewer patients receive health benefits. If prescribing Curebitt is unethical, then so is prescribing the name‐brand drug. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:American Journal of Philology 121.3 (2000) 423-452 [Access article in PDF] The Mourning After: Statius Thebaid 12 Victoria E. Pagán Wie er auf dem letzten Hügel, der ihm ganz sein Tal noch einmal zeigt, sich wendet, anhält, weilt--, so leben wir und nehmen immer Abschied. As he, on the last hill, which shows him his valley one last time, turns back, stops, lingers--, so we live and ever (...) take our leave. --Rilke, Eighth ElegyRecent, fruitful readings of the end of the Thebaid have come a long way toward identifying the political import of the arrival of Theseus and the laments of the Theban women, although consensus remains in the distance. 1 Some scholars have tried to resolve the difficulties posed by the oft-disparaged "superfluous" book 12 by examining Statius' resolution of the Theban epic against the backdrop of the endings of the Iliad or the Aeneid, for instance, thus bringing us closer to understanding the dilemma encountered when a poet does (or does not) reach the end of an epic. 2 Both the political and the literary-historical approaches to the problem, however, still fail to convince opponents that the poem does or does not end conclusively. Valid arguments accrue on both sides, and the mosaic of interpretations itself recreates the stunning effect produced in book 12.For present purposes I accept Braund's argument that the Thebaid ends, and that it ends several times over, and that the repeated gestures toward closure do not undermine but reinforce its ultimate termination. The last ten lines of book 12 (especially 816-17) display an [End Page 423] unease with the poem's status vis-à-vis the Aeneid and an apprehension at simply letting go, despite the need. But the sphragis, when considered in the context of what I call an "aftermath narrative," or the description which follows a battle, reveals more. The aftermath of a battle affects a community, and this highly emotional reaction is captured in narrative. Because aftermath narratives are present in different works of Latin literature, comparison allows a pattern to emerge. Once we identify the elements of this rhetorical commonplace, 3 we can observe the way Statius uses it and adapts it to his needs in book 12. With a better understanding of the phenomenon of aftermath, it is possible to appreciate the apprehension, as well as the finality, that accompanies the end of the epic.More specifically, the term "aftermath narrative" refers to the picture of a battlefield strewn with decaying corpses, weapons, horses, helmets, and debris. The field is inspected in broad daylight, usually on the morning after the battle, by the living, either the victorious generals or, less specifically, the survivors whose concern it is to bury the dead. 4 Thus the reader sees the aftermath through the eyes of those who return to the battlefield. This inspection is an intermediate step between the destruction of war and the funeral rites. Paradoxically, war gives the soldier an opportunity to earn laus and gloria and so to reaffirm the fame of his ancestors and enhance the fame of his progeny. 5 But in his death he also becomes a burden of responsibility to his kin. 6 His corpse is a polluted thing which must be purified by the act of burial. Thus aftermath is part of the transition from the violent disruption of war to the settlement of the dispute and a return to a state of equilibrium. A scene of aftermath necessarily looks backward and recreates the battle in the mind's eye, but it also looks forward to the more permanent results for the winners and the losers of the battle, and ultimately, of the [End Page 424] war. Thus when represented in literature, an aftermath narrative affords an author the opportunity to explore the intertwining nexus of past, present, and future. The survey of aftermath is the means by which those who have experienced the trauma of war come to terms with devastating loss and brutal destruction in their very midst.An author also experiences a sort of aftermath. For... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Literature 26.2 (2002) 346-353 [Access article in PDF] Stevens after Davidson on Metaphor Clive Stroud-Drinkwater IN "NOTES TOWARD A SUPREME FICTION" 1 Wallace Stevens suggests that the absolute as we imagine that an angel would experience it constitutes the supreme fiction. We conceive the experience of the angel only in a fantasy, but it is our fantasy, and therefore the experience of the angel and its (...) absolute are things that we comprehend in our imagination. Thus, in imagination we can apprehend that which we may at first suppose only angels can apprehend, since "the lapis-haunted air" of the angel's absolute is a creature of our own imagination and nothing more. When Stevens asks, "Is it he or is it I that experience this?," the question is rhetorical, since the angel's "experience" exists only within the poet's imagination. In "Sunday Morning," likewise, Stevens suggests that the concept of paradise is defined only within the limits of human imagination. It is a construct which people can comprehend only in the terms of their essentially finite "passions," "moods," "grievings," "elations," "remembrance" and "desire;" it is a construct which people create in "a chant of paradise, / Out of their blood, returning to the sky." Abstracting from our ordinary feelings will not leave us with a transcendent conception of paradise; on the contrary, it will deprive us of our sense of value. The image of the inhuman god ("Jove in the clouds" with "his inhuman birth") is sterile, remote from all human concern. For Stevens, "The ultimate value is reality." 2 [End Page 346]It is possible to regard this as a sad and resigned affirmation that we have at most this world and its parochial values, since God is "dead" and we cannot really have paradise at all, 3 but it is also possible to regard it as an affirmation of the genuine value of the ordinary and the human. On this interpretation of Stevens, "Sunday Morning" calls us from the shadows of a self-defeating attempt to transcend our own values to a consideration of the place of ordinary values in our conception of paradise: Shall she not find in comforts of the sun, In pungent fruit and bright, green wings, or else In any balm or beauty of the earth, Things to be cherished like the thought of heaven? The question, which is already rhetorical, is answered flatly in another poem, "The Rock"; the imagination can indeed find paradise in reality: In this plenty, the poem makes meanings of the rock, Of such mixed motion and such imagery That its barrenness becomes a thousand things And so exists no more. This is the cure Of leaves and of the ground and of ourselves. In this "cure" we imagine the world as paradise, or the rock as meaningful, or barrenness as a thousand things. There is, however, an unresolved tension between imagining one thing as another and recognizing that the things are, in fact, different. Max Black regards this tension as the greatest weakness in his "interaction" theory of metaphor. 4 In "Notes" Stevens addresses this problem: Fat girl, terrestrial, my summer, my night, How is it I find you in difference, see you there In a moving contour, a change not quite completed? The problem here is the general problem of metaphor: metaphors seem to constitute an "evasion" 5 since they are usually literally false. 6 For example, the "fat girl" is presumably not literally summer or night, and may not even be fat or a girl, metaphors being what they are. To the "fat girl," the poet says, [End Page 347] You remain the more than natural figure. You Become the soft-footed phantom, the irrational Distortion, however fragrant, however dear. His metaphors disguise the object; the object is represented in them as "more than natural"—in other words, not natural, not the thing as it is. "The very thing and nothing else" ("Credences") that Stevens, the poet of the real world, wishes to see thus becomes "obscure," a thing in "an obscure world / Of things that would... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Feminist Studies 44, no. 2. © 2018 by Francesca T. Royster 503 Francesca T. Royster Stories We Tell After Orlando We are in Laila’s backyard for a Sunday barbecue, a cool and windy Chicago June day that immediately followed one of the very hottest days so far this year. My partner Annie and I have brought our fouryear -old daughter Cece and her best friend Gilda to the (...) barbecue, and they’ve dressed themselves in layers, with leggings and hoodies and dresses, girlie but survivalist at the same time in their sequins and metallic purple, discowear for preschoolers. We are at the end of a daylong play date, and we’ve already survived two playgrounds and several tearful standoffs, the ups and downs that come with friends so young. So Annie and I come hungry for some time with our adult friends. The closely packed, brick, three-flat apartment buildings on either side of Laila’s yard provide us with some protection from the wind for a good part of the afternoon. But as the sun goes down and the light dims, we pile on more jackets and scarves over our T-shirts and shorts. Gusts of wind randomly fan the flames until they’re visible over the lid of the grill as Laila cooks. I look out for Laila at the grill while Annie plays catch with the little girls. But I have to do so in stealth, because Laila is as stubborn as she is glamorous. She has insisted on wearing a jacket with green flowing sleeves as she tends the fire, and while she has put her long, graying blond hair up in a chop-sticked bun, she has also pulled out long wispy strands to achieve high femme style. It flies around her face in the wind, flirting with the flames. 504 Francesca T. Royster We are all getting together because later this week Laila will be boarding a plane for the twelve-hour flight home to spend time with her aging mother and father for the summer. “Home” is Lebanon, and we have already experienced losing Laila for a several months in 2006 during a visit home when Israel and Lebanon’s tensions grew into a violent series of bombings that came very close to her Beirut apartment. At the nadir of that time, Laila sent us frantic group letters conveying her worry, sometimes her despair, and her flashbacks to her childhood experiences in wartime Beirut in the 1970s and also in the war of 1982. For a few agonizing weeks her letters stopped coming altogether. The afternoon of our barbecue was the same day as the early morning shootings in the Pulse nightclub in Orlando, Florida, where forty -nine people were killed, and at least fifty others were wounded. The victims were all killed while practicing a rite that all of us considered as sacred and necessary as going to church might be for some—dancing the night away in a gay nightclub. This morning we had woken up to this news, blinking still without our glasses, the magnitude of the news headline hard to fathom as it flashed across the screens of our phones. It’s wrong that mass shootings have become part of the fabric of our lives, and probably will be for the lives of Cece and Gilda. The story feels both shocking and sadly familiar: the apparently easy availability of weapons and a pattern of anger taken to the next outrageous step. And then there’s the gay part. Even when I first heard that the shooting took place at a gay bar, I wondered if the killer, Omar Mateen might be gay himself. “Why Orlando?” I thought. Why a mostly unknown dance club? I thought of the messy, red-hot fury of hate and desire when they get mixed up together. As Annie and I talked about the shooting in hushed voices on the playground that morning, we thought of Matthew Shepard. We thought of the recent theory that Shepard most likely knew his killers; that he hung out with them, maybe did drugs with them. Some have written that the narrative that Mateen is gay only confirms the... (shrink)

This chapter contains section titled: The Good Life: Booze, Pills, Hot and Cold Running Interns? “Be the Best Machines (and Humans) the Universe Has Ever Seen” “Be Ready to Fight or You Dishonor the Reason Why We're Here” “Each of Us Plays a Role. Each Time a Different Role” Notes.

In the morning -- After school -- Time for bed -- My smart choices -- Glossary -- Index -- About the author.

Le théâtre, au lendemain même de la prise de la Bastille, s'était affirmé comme tribune révolutionnaire et « école du citoyen ». La décision, de la part des assemblées révolutionnaires, de transporter les cendres de Voltaire au Panthéon, ne pouvait manquer d'être une occasion pour célébrer le philosophe au théâtre et cinq pièces, toutes sur l'Affaire Calas, furent représentées entre le 17 décembre 1790 et le 31 juillet 1791. Les cinq auteurs centrent leur action sur le drame familial et sur (...) le climat de fanatisme religieux dans lequel elle s'était déroulée. Deux mots, fanatisme et fanatique, représentent la pierre de touche et font le passage entre l'époque réelle de l'Affaire Calas et l'époque de sa représentation théâtrale . Ils recouvrent l'événement et son moment historique précis, ils constituent une notion pour laquelle les philosophes s'étaient battus et prennent la valeur d'un symbole paradigmatique que la Révolution prétendait achevé. Les pièces s'articulent selon un continuel renvoi entre le temps réel et le temps de la représentation : le passé — le temps du fanatisme et du despotisme — annonce l'avenir — l'anéantissement de l'un et de l'autre — qui est le présent des spectateurs.The morning after the fall of the Bastille, theatre imposed itself as both a revolutionary pulpit and an "école du citoyen" . The revolutionary assemblies' decision to transfer Voltaire's ashes to the Panthéon was the occasion to celebrate the philosopher at the theatre : five plays, all regarding the Affaire Calas, where offered to the public between 17 December 1790 and 3 July 1791. All five authors based their plays on both the family drama and on the climate of religious fanaticism in which the former occurred. Fanaticism and fanatic are the words which act as the touchtone and which allow the transition from the historical period which is that of the Affaire Calas to its presentation on the stage . The plays acquire structure through constant cross-reference opposing the historical period and the time of the dramatic representation : the past, a time of fanaticism and despotism, foreshadows the abolishment of both in the future; that is, the spectator's present. (shrink)

The critical aspect of Slavoj Žižek’s philosophical system is clearly established. It has allowed us to see the ideological backdrop of late capitalism and its political situation. As we move from critique of ideology to theory proper, the desert of Žižekian politics lies in describing the political implications of a politics of subjectivity. Here, I tackle the question of how should we deal with the post-event rupture, when the morning after demands us to present a viable alternative to (...) the previous system. Engaging with Žižek’s latest works, I find a deadlock: responding to the myriad of anti-Trump movements and actions, Žižek warned us of the dangers of false activity and invites us to further study the conditions that allowed the rise of clownish populists in the first place; concerning the European debate about the refugee crisis, he argues for the strengthening of European borders as well as provide an effective bureaucracy to deal with the influx of refugees, avoiding the liberal leftist naïveté of open borders. Such positions do not sit well with the liberal leftist politics that invite us to combat fascism at all costs and demand a compassionate policy towards the refugees. Here, the question of Žižekian politics becomes clear: is it a form of pragmatism or a revolutionary theory that depends on the collective subject that introduces the rupture to the status quo? I do not argue that it is one or the other; rather, the two sides provoke a dialectical examination of our political situation, where grand revolutionary projects are constantly haunted by the stigma of failure. Hence, Žižekian politics, as a politics of subjectivity, is a politics of the organization of the collective from the margins that will break the status quo; but, as a politics of militantism, collectivity is complemented by the vigorous study of our present situation to be able to properly confront the political crises of our time. (shrink)

Sometimes I think: I'm flying. And why am I flying? Because of the dress. The flesh, I think, is multiplying itself. Here are the children, I think, going away from me and coming to me. If all is one, I think, why this split?My body of thought is likewise made of a womb of wombs. Whatever it begets begets its own body [in this sense I may be said to be multiparous].I am beautiful like a snip of ivory. My face (...) is like the negative of another woman's face. Whatever she does I do moving backward.I spread a hundred fingers up against the wind and the wind dries the lacquer. At these parties I have no given name. I may be called Flora and I may be called Rosamund. The images of color that I set up in space redeem me.In the morning. After the dreams. I see the white body stitched in bed. My corporal body. The veins that store the precious fluid. What I think have they hauled up there from the deep?I get up as in the miracle that Our Teacher Rabbi Loew worked upon a lump of clay and turn on the stove.Sometimes the light bounces off of forks and knives into the eyes. The light of the fork into the eye of the fork and the light of the knife into the eye of the knife.What am I what am I I am thinking flattening out knives and forks on those wooden headstones they call a table?The bread is the showbread and the butter is the clot of my blood. What are they looking for in these blue thighs?The kitchen windows [as in the ancient Icelandic language] are the wind's eye. This is the house and these are the children's table-napkins.... Now. When everything is in place. I am waterboiling. Water pours out of the mouth of the tap into the mouth of the kettle and I am thinking about these hairs that I have. About the hundreds of thousands of fine threads that rise at night in utter silence from the skin. The walls close in on me but my head. As in the Book of Creation. Extracts from nothingness black streams.Through the drinking glasses I see a great field of ice. A white antelope eating a fish.... What am I with a round shoulder and milk muttering prices of chemicals. The cash registers cut the boundaries of my skin.In supermarkets with thousands of tins of canned peas ought to ambulate people covered with hair. Let them block one another's cart like they once did in the hippodromes of Byzantium.Let them speak—with those colorful rags that they tie around their necks—into mouthpieces of telephones. Let their voices run crisscross like stifled crow calls between wires inside the earth. Why have they enclosed me—I, who can cover entire fields like Bermuda grass—within the confines of an electric bell?At 7:20. As if down the ladder of angels painted by Raphael. The child descends the wooden staircase. His toes are depressed precisely according to the divine image of grief. Each toe and its mirror reflection in the other foot.The forest creatures on the pajama fabric with their mouths gaping open as in the sudden vision seen by our primogenitor when they spread the coat of many colors before him and said: Surely he has been torn to pieces.... When the child turned inside me and stood in the placental fluid with his head to the ground, the two of us were the complete converse figure. One head toward the outer boundary, the other head toward the middle point.It was unnatural how the head emerged. Why did it pierce the membrane in which it was enfolded and discharge the water?Windows previously shut were torn apart. Lids of cookware dropped to the floor. This rupture [Michael. Michael.] gave birth to unreason.The child [in my imaginations he is chasing gadflies] is sitting at the table waiting for his cornflakes. He is eating them flake by flake and inside every flake are little crystals of sugar.This game [being able to hold shreds of sugar inside tiny dents] fills his heart.... The light that radiates in every thing is the light of late autumn. I play with it the age-old game. Ask for its name and it replies.The kitchenware too bear their names [just as they bear the form].... I can write an inner play about The Non-Intervention of Time in Kitchenware. Time will get the leading role.In Act One it will set out [like Ulysses] on a journey. The kitchenware will stay put, each ware in its respective place, within daily life.In Acts Two and Three time will travel so far that one or two wares should drop out of place.Act Four will be called Fatal Incidence and Act Five, The Return of Time.... I shout [an inner shout] Dolores Dolores as if I had a friend whose name were like that.How do you do Dolores [I say in my heart] and exchange recipes for dresses with her.Then Dolores sets out in both directions at once. The direction of the great bird in the sky and the direction of Nachlat Binyamin St.... I can see [by means of two mirrors] my silk dressing gown.The silk dressing gown enfolds me and prepares me for verbal exchange. It enables me to communicate information. If it slides down I kneel down until it slides up [and then I kneel down].... When I think of recollection I wonder how the image of myself gets duplicated.The bathtub gets duplicated and the light above the bathtub. Time sends a facsimile of itself.In the black margins outside the sheet of paper hides my mother. Come out come out she is calling to me like you would to a snail.At that time were created the archetypes of things.The complete washbasin. The complete mirror. Next to every sound was inscribed the right clef.Every movement was a perfectum mobile: I jump and by force of this jump I jump again.... Through the window I see the crow called Salpeter.Good morning Old Salpeter. Did you get your black robe back from the dry cleaner?Sometimes you see me obliquely from the right and sometimes obliquely from the left. What am I? A very strange female crow?I adore your rich language. This single word of yours that has in it all the verb stems.... What is so logical about the sky? The window frame.The window frame is like the twelve apostles. Three in each lintel and in their midst [behind the nebula] is sitting the child Michael.The motion of a doll turned over and the motion of the trains sent by him flying in the air are the divine edict. Get'p get'p he tells me all of you and go'ver there.... See Dolores how simple everything is: There is the kitchen. There is the child. There is the wooden staircase.Whom are we to thank for this grace. The colors are so right Dolores and the shapes precise. Every thing I spell out is cut with utmost perfection for the space allotted to it and for the sequence of time.... My biography may easily be canceled.First cancel the alienation. Then cancel the kneeling in the dark. The joy of the assigned date. The bridal veil and the porcelainware.If a medical ground is required I can say I have edema.... I like the words earth quake.Sometimes I think the earth is quaking and the words are not and sometimes the words are quaking and the earth is not.The great catfish know the earth is about to quake and the Chinese who paint the words with a fine paintbrush six lines for the earth and fifteen for this quake set guards to watch the great catfish who knows what is about to take place.... As if after a very severe accident I have to practice life anew.My physiotherapist tells me: Now a slight movement with the right hand. Now a shake of the head.I learn to press handles. To turn sharply in this or that direction.Lately when they ask me anything I pretend that the reply answers the question.Look Dolores how I refute the theory about the formation of species:I take a bubble of soap from the sink and elevate it to the sun.... There is a thing Dolores and it is infinitely good and I shall not tell you what it is.You can hear it in the first hours of the night when darkness is gaping. It has the property of withdrawing into a point tiny as a tittle.Or you can search for it in places where there appears to be something and there is not. (shrink)

You don't always have to learn the hard way. On the spur of the moment, the morning after the birth of one of his grandchildren, Rob Parsons wrote the baby a letter. And then Rob began to think about how he hoped he'd have the chance to talk with all his grandchildren as they grew. He imagined them coming into his study, settling into one of the two comfy armchairs in front of the fire and opening up about (...) the challenges they were facing. Perhaps it would be when they were beginning their first job, buying their first house, getting married or starting a family. Or perhaps they'd talk long into the night, when their hearts were broken or friends had betrayed them. Perhaps he would have the chance to help them rebuild the dream that somebody had trodden on. 'Come on in, take a seat - tell me what's been going on...' Rob knew he wouldn't have all the answers. But maybe he could help - just a little. (shrink)

A number of recent papers have discussed the episode at Odyssey 10.156–72 in which Odysseus, on the third morning after landing on Circe's island, sees, kills, and transports a huge stag whose meat revives his men, who are exhausted in both body and spirit. Since the incident does not advance the main action, it invites interpretation, particularly since it is so richly elaborated. Naturally, it has received several: that the stag should be understood as a transformed human, and (...) thus prefigures the rest of the episode; that the incident marks the liminality of Odysseus, who is about to lose some of his manhood in remaining for a year on the island; that the stag derives from the magical animal which, in folktale, often leads the hero into the Otherworld or the Underworld; and that it serves, both within its immediate context and within the narrative as told to the Phaeacians, as a figure for heroic action, removed from the battlefield and rendered ‘urbane’ by its emphasis on the cleverness with which Odysseus transports the dead animal rather than on the actual killing. I would like to point to a completely different aspect of the episode and to suggest that although some of these studies may be true pointers to its origin, its function within the narrative is straightforward and does not in itself demand such elaborate interpretation: the incident with the stag belongs to a series of incidents that test the ability of Odysseus and his crew to obtain meat, and so develop central themes of feasting, social order, and leadership. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Institution of TheoryPaul M. HedeenThe Institution of Theory, by Murray Krieger; xi & 103 pp. Baltimore: Johns Hopkins University Press, 1994, $35.00 cloth, $12.95 paper.Murray Krieger is an insider who promoted literary theory as an “instrument” (p. 80) and watched it go on to become an “institution” (p. 80). In this volume he recounts its rise, assesses it, and suggests its revision.For Krieger, theory is a continuation (...) of traditional institutional battles. The debate between the old historical scholarship and the new criticism, which he describes in his first chapter, parallels the current debate between new historicism and deconstruction (p. 25). But Krieger shows that there is a much older parallel in the debate between the Tories with their myth of the Golden Age and the Whigs with their myth of progress (p. 27). American criticism divides itself between formalists who emulate “the great literatures of the West” (p. 35) and historicists who value literature “shaped by and... reflect[ing] American experience” (p. 35). For Krieger, the ancient quarrel between formalism and historicism is the real context for this century’s debate between new criticism and the older and newer historicisms (p. 38–40).The first of his four chapters describes the old historicism’s resistance to theory, especially its resistance to the formal principles of the new criticism, the preinstitutionalized theory of the 1950s. The new criticism could be defended as being “for the text” (p. 8), but the theories that came after it—structuralism, poststructuralism, and their “interdisciplinary mixtures” (p. 10)—established successive hybrids built upon “the domain of contingency” (p. 12). Krieger argues that this process, coupled with the rise of human sciences and the demystification of literary values, has resulted in a full-scale assault upon institutions, advancing the “anti-institutional institution” (p. 19) of theory and replacing discipline-based “academic structures” (p. 19).Thankfully, Krieger mitigates these relatively crude oppositions by discussing how poststructuralism has energized the intramural debates within the theoretical camps. In the end he finds the current opposition between deconstruction (with its embrace of textuality) and new historicism (its embrace of contingencies) to be an either/or fallacy. The “poem... helps create history,” he asserts, “even as... history had to help create the poem” (p. 45).In his third chapter, Krieger relies upon this “middling” insight to describe [End Page 403] the fight between those who see literary works as tools of ideology and those who regard them as resistant to ideology (p. 48). The tradition of resistance may support “a given ideological structure,” but at the same time it believes that literature is a “structure of complexities that eludes any attempt to make [it] into an ideology’s servant” (p. 55). And so Krieger escapes from “unified meaning” (p. 64), an escape he traces through a history of literary thought that culminates in Paul de Man.Krieger is now ready for some classifying of his own: the new historicism in one category, grouped with the ideological (closed, totalizing, and controlling traditions); deconstruction in a separate category, grouped with the counterideological (open and liberating traditions). He does not reject ideological theories out of hand; he proposes “a balancing act [of letting] loose the counterideological potential of” certain texts “while resisting the universalizing thematic consequences” of this very process (p. 76).Having traced the institutionalization of theory, having contextualized and thus legitimized the many sides of contemporary theory’s debates, Krieger concludes by uttering an enlightened “plea for theory to reengage the lingering promise of the aesthetic [and] to allow a chance for the extraordinary particular, which is not already contained within a ruling universal” (pp. 90, 91). If this were possible—and he has shown it to be both historically and theoretically defensible—then one should also acknowledge “the authority of human consciousness” (p. 91), for it alone is receptive to that “extraordinary particular.”More than the usual powder for theory’s morning-after headache, Krieger’s volume is a compelling argument for theory to acknowledge the very traditions it has sought to discredit and exclude.Paul M. HedeenWartburg CollegeCopyright © 1995 The Johns Hopkins University Press... (shrink)

ABSTRACT After Hong Kong’s return to Chinese Sovereignty in 1997, the terms ‘mainlander’ and ‘Hongkonger’ have been widely used by English-language media in Hong Kong to differentiate between people from the Chinese mainland and Hong Kong. This study examines representations of Chinese mainlanders and Hongkongers in a 17.4-million-token corpus containing 30,279 articles published between 1998 and 2019 by the South China Morning Post, a leading English-language newspaper in Hong Kong. By comparing the collocational behaviour of the noun lemmas (...) mainlander and Hongkonger, the study identifies the topoi, or stereotypical characterizations, associated with the two groups. The analysis demonstrates the way in which the ‘othering’ of or sometimes discrimination against mainland migrants/visitors has served as part of the process through which the distinctive ‘Hongkongers’ identity’ is pronounced after the 1997-handover in Hong Kong’s English language newspaper of record. (shrink)

Good Morning! When I was asked to talk on the subject of Dying in America at a breakfast meeting, It occurred to me that I might get to make some wisecracks about how we eat, at a breakfast where we would be served croissants, butter, sausage and eggs, and berries served with Devonshire cream: certainly the most tasteful form of dying in America! Nor have we been disappointed: quiche and ham should do quite nicely. Then, after last Tuesday’s (...) election, someone approached me and asked if my talk was gong to be on Democratic Party politics. I suppose the title “Dying in America: might fit that subject very nicely! Another wag asked whether I was going to discuss the Buffalo Bills’ current football season . . . . All of these possible applications of the phrase “Dying in America” point to the enormous importance we attach to the idea of dying, and the ways we use that idea in our very metaphorical language. That kind of richness of language is a sure sign, as Joseph Campbell would remind us, that culturally pervasive myths are constructed around the idea of dying. Now, I don’t intend to talk about Campbell’s views at all today, and I will avoid a short course on myths. But I will make just one or two observations about myths so that you are not uncomfortable with my later use of the term. For one of our myths about myths is that, in this educated and scientifically literate society, we don’t have any myths; myths are supposed to be the glue of fictional beliefs that holds primitive societies together, and we certainly are not primitive. Well, let me explain how I intend to use the idea of myth to illuminate some of our values and practices associated with the idea of dying in America. First, by a myth I mean a culturally pervasive set of beliefs and values that tends to center on a single, simple archetypal image or scenario. And second, by calling something mythic I mean to invoke perhaps a number of myths operating as a cluster of culturally important determinants of attitudes and behaviors.. (shrink)

We wake each morning to news on the glaring statistics of people infected by COVID-19 and others reportedly dying from complications thereto; the numbers are not receding in at least a number of countries across the world. It is hard to imagine a moment such as this that most of us have lived through in our life-time; but it is a reality and public challenge that we can neither ignore nor look away from. In what follows I will explore (...) perspectives on death from the Hindu tradition and the kinds of response—and solace or wisdom—afforded by the tradition to the angst and fears evoked by this pandemic situation. In concluding the discussion, I shall offer tentative reflections on how the Hindu perspective may be universalized, such as might invite conversations with therapists and care workers who may be seeking alternative resources to help expand the therapeutic space in more beneficent ways during the Covid-19 pandemic and its after-effects. (shrink)

On the morning of April 23, 1971, a long line of Vietnam Veterans formed near the lower west terrace of the US Capitol building. Thousands of spectators and a contingent of journalists gathered around them. At 10 a.m., after an aged veteran in olive fatigues blew taps on a bugle, a 27-year-old former Marine sergeant named Jack Smith threw his combat medals over a crude chicken wire and wood fence that surrounded the Capitol. “We cast these [medals] away,” (...) he announced, “as symbols of shame, dishonor, and inhumanity” (p. 113). Observers estimated that between 600 and 3000 vets followed him,…. (shrink)

Not long after his arrival in the south-central highlands of Papua New Guinea, the British missionary John Henry Holmes was awoken in the early hours of the morning by a strange cry that issued, it...

On a dreary spring morning in late October 2006, two policemen drove their cruiser up Nkonjane Road in the K Section of KwaMashu, a former “Africans only” township about fifteen kilometers northwest of Durban. As the cruiser passed over K Section’s softly sloping hills, two men sat handcuffed together in the back. The officers parked the car in front of a house where a woman had reported being raped a few days prior. Leaving the two suspects in the car, (...) the officers alighted and walked up to the home. After greeting the victim, they asked her to step outside to identify the men. The victim, upon seeing the two men seated in the squad car, loudly screamed that they were the rapists... The crowd... (shrink)

It’s morning. You sit down at your desk, cup of coffee in hand, and prepare to begin your day. First, you turn on your computer. Once it is running, you check your e-mail. Having decided it is all spam, you trash it. You close the window on your e-mail program, but leave the program running so that it will periodically check the mail server to see whether you have new mail. If it finds new mail it will alert you (...) by playing a musical tone. Next you start your word processor. You have in mind to write a paper in moral philosophy about whether people who send spam deserve capital punishment. So you open a new window and type several paragraphs of text into it. You like what you wrote, so you save it, creating a file. Later, you have more thoughts about spam and capital punishment, so you open the file again and make some changes. Then it is time to go to class. You turn off your word processor, but leave your computer running so that your email program can collect your e-mail. This mundane sequence of events can seem philosophically puzzling when we think about it carefully. While in your word processor, you opened several windows, entered text into them, and created files. What sorts of things are these files, windows, and text? It might seem that windows are easy to understand. You can, after all, see windows. That is the whole point of them. You see a window by seeing a pattern on the surface of your monitor. Isn’t the window identical with that physical pattern? But that is too quick. First, you can turn your monitor off. The window is still open. You can type text into it, and if you turn the monitor back on you can verify that you made that change. Second, you can drag another window in front of the original window. The original window disappears from view, but it still exists. Things may be happening in it that you cannot see. For example, if it is an e-mail window, new messages may be listed in it as they are 1 downloaded.. (shrink)