Women in Science, Technology, Engineering, and Mathematics (STEM): An Investigation of Their Implicit Gender Stereotypes and Stereotypes’ Connectedness to Math Performance

In spite of many barriers facing women??s enrollment in Science, Technology, Engineering, and Mathematics (STEM), some women are successful in these counter-stereotypic disciplines. The present research extended work primarily conducted in the United States by investigating implicit gender-STEM stereotypes??and their relation to performance??among female and male engineering and humanities students in Southern France. In study 1 (N?=?55), we tested whether implicit gender-math stereotypes??as measured by the Implicit Association Test (IAT; Greenwald et al. 1998)??would be weaker among female engineering students as compared to female humanities, male engineering and male humanities students. In study 2 (N?=?201), we tested whether this same results pattern would be observed with implicit gender-reasoning stereotypes (using a newly created IAT) and, in addition, whether implicit gender-reasoning stereotypes would be more strongly (and negatively) related to math grades for female humanities students as compared to the three other groups. Results showed that female engineering students held weaker implicit gender-math and gender-reasoning stereotypes than female humanities, male engineering and male humanities students. Moreover, implicit stereotyping was more negatively related to math grades for female humanities students than for the three other groups. Together, findings demonstrate that female engineering students hold weaker implicit gender-STEM stereotypes than other groups of students and, in addition, that these stereotypes are not necessarily negatively associated with math performance for all women. Discussion emphasizes how the present research helps refine previous findings and their importance for women??s experience in STEM.     

Reading Cultural Studies of Medicine

This article introduces cultural studies of medicine to medical humanities readers. Rather than offer extended definitions of cultural studies of medicine or provide a detailed history of the domain, I have organized this introduction around a close reading and review of three recently published texts in the field. These three texts, dealing respectively with “cyborg” technology, AIDS, and the medical “management” of sexual identity problems, represent excellent examples of the opportunities and possibilities of applying cultural studies approaches to medical topics. After working through these texts (and the semiotic “theories” which animate them), I devote my conclusion to a broader consideration of the role of cultural studies of medicine for both medical practice and medical humanities scholarship.     

Innovation Through Tradition: Rediscovering the “Humanist” in the Medical Humanities

Throughout its fifty-year history, the role of the medical humanist and even the name “medical humanities” has remained raw, dynamic and contested. What do we mean when we call ourselves “humanists” and our practice “medical humanities?” To address these questions, we turn to the concept of origin narratives. After explaining the value of these stories, we focus on one particularly rich origin narrative of the medical humanities by telling the story of how a group of educators, ethicists, and scholars struggling to define their relatively new field rediscovered the studia humanitatis, a Renaissance curriculum for learning and teaching. Our origin narrative is composed of two intertwined stories—the history of the studia humanitatis itself and the story of the scholars who rediscovered it. We argue that as an origin narrative the studia humanitatis grounds the medical humanities as both an engaged moral practice and pedagogical project. In the latter part of the paper, we use this origin narrative to show how medical humanists working in translational science can use their understanding of their historical roots to do meaningful work in the world.     

See me,hear me: Using film in health-care classes

This essay argues that film deserves a place within the medical humanities curriculum and demonstrates effective strategies for employing it within medical ethics and humanities classrooms. Part One of the article emphasizes how and why medical ethics teachers can utilize documentary and fictional films, such as “Thomas Szasz and the Myth of Mental Illness,” “The Deadly Deception,”Whose Life Is It Anyway? and “Voices From the Front” in their courses. Such films encourage students to move beyond abstract debates and confront the human pain inherent in all ethical dilemmas. Part Two focuses on documentary and fiction film in the medical humanities classroom. In this section, the author details how to incorporates films, such asThe Doctor, The Waterdance andHospital, into the humanities classroom, juxtaposing them with various literary works, such asOther Women's Children, Borrowed Time, andCeremony. Part Three of the essay presents a detailed discussion ofThe Elephant Man andFrankenstein, illustrating how visual and literary texts compliment each other within the humanities classroom. Overall, the author demonstrates how films function as engaging and complex visual texts providing unique insights in the particularities of American health care and, as such, can become valuable components within medical ethics and humanities classrooms.     

The Zhuangzi and You 遊: Defining an Ideal Without Contradiction

You ?[ is a crucial term for understanding the Zhuangzi. Translated as ??play,?? ??free play,?? and ??wandering,?? it is usually defined as an ideal, playful Zhuangzian way of being. There are two problems with this definition. The first is logical: the Zhuangzi cannot consistently recommend playfulness as an ideal, since doing so vitiates the essence of you??it becomes an ethical imperative instead of an activity freely undertaken for its own sake. The second problem is performative: arguments for playful Zhuangzi as exemplar resemble those of the logicians and philosophers who appear to come in for Zhuangzian criticism. This essay addresses these tensions by demonstrating how the Zhuangzi ambiguates the nature and value of you. Apparent endorsements of you are not freestanding, instead occurring in grudging replies of teachers to overly zealous students. In light of this recontextualization, a new version of you is offered that accommodates ??non-playful?? ways of being.     

Are the Medical Humanities for Sale? Lessons from a Historical Debate

In November of 1959, William Bean published in the Archives of Internal Medicine a scathing review of Félix Martí-Ibañez’s Centaur: Essays on the History of Medical Ideas. Martí-Ibañez and Bean were two of the leading exponents of the importance of medical humanism during a formative period from the 1950s through the 1970s. But the two physicians differed fundamentally in their views of the ideal relationships among the pharmaceutical industry, the medical profession, and the medical humanities. We situate Bean’s review within its historical context, shedding light on the history and diverging uses of the medical humanities.     

“… the art of shaping a democratic reality and being directed by it …”—philososophy of science in turbulent times

This article has three objectives: First, it revises the history of the reception of Ludwik Fleck??s monograph Entstehung und Entwicklung einer wissenschaftlichen Tatsache (1935, Genesis and Development of a Scientific Fact). Contrary to the established picture, Fleck??s book was largely discussed in the years before the outbreak of World War II. What becomes clear when reading these early reviews and especially Fleck??s comments to those written by representatives of Nazi Germany is, second, the political dimension of his epistemology. In this respect, Fleck??s emphasis on the genuinely democratic character of science will be discussed in some detail. And third, Fleck??s notion of ??Denkstil????thought-style??shall be examined more closely since, as we will claim, it can be understood as a notion indicating where the democratic dimension of science encounters its limits.     

Digital��nye dereven??iki/digital villagers: Russian online projects from the countryside

The rapid growth of the Russian Internet offers great advantages, especially for geographical and cultural peripheries. Nevertheless, the locational inequality in Internet usage within the country has not yet been bridged. Meanwhile, some Russian villagers living in the countryside have started to ??blog back?? to the metropolitan centres. How is the Russian village represented in these accounts by digital??nye dereven??iki? What power relations are characteristic of villagers and townspeople, as they meet in online forums and blogs? The case studies presented in this essay show that, although the traditional dichotomist opposition between centre and periphery has undergone substantial redefinition, the significance of these concepts as value-loaded, culturally coded discursive entities still prevails. The manifestation of hybrid identities, explored in recent research on transnational diasporic communities, has not yet affected the rather static conceptions of core and periphery at work within Russian borders and on the Russian Internet.     

The educational philosophies behind the medical humanities programs in the United States: An empirical assessment of three different approaches to humanistic medical education

This study investigates the three major educational philosophies behind the medical humanities programs in the United States. It summarizes the characteristics of the Cultural Transmission Approach, the Affective Developmental Approach, and the Cognitive Developmental Approach. A questionnaire was sent to 415 teachers of medical humanities asking for their perceptions of the amount of time and effort devoted by their programs to these three philosophical approaches. The 234 responses constituted a 54.6% return. The approximately 80:20 gender ratio of males to females and other demographic data on age and educational background were consistent with other studies of the field of medical humanities. Reflections on the results in Table II indicate that some changes need to take place in the teaching of the medical humanities if the perceived ideal is to be achieved. In order for the current teachers of the medical humanities to think that the appropriate philosophies behind the teaching of the medical humanities are being implemented as they should be, much less time and effort need to be devoted to the Cultural Transmission Approach. With no other published reports on the educational philosophies behind the medical humanities programs, this study created a new knowledge base about this relatively young and rapidly emerging field.     

Psychotherapie in Westdeutschland nach 1945

Protagonists during the formation of post-World War II medical psychotherapy (e.g. Ernst Speer, Berthold Kihn) had been involved in Nazi selection and ??hereditary health?? policies and continued to express related attitudes and views in the post-war period. To contextualize and analyze these findings, the broader institutional structures and dynamics in psychotherapy before and after 1945 are described. It is argued that for gaining attention, acceptance and resources, psychotherapy and psychiatry are much more dependent on the specific political and economic contexts than somatic medical disciplines, due to the focus on experiences and behavior of human beings. This is related to the fact that such political and economic contexts are themselves bound to anthropological conceptions and norms of behavior. In a further step three paradigms of dealing with the Nazi past are identified for post-World War II psychotherapy and psychiatry: the isolation paradigm, the continuity paradigm and the localizing-complex paradigm.     

The pedagogy of two different approaches to humanistic medical education: Cognitive vs affective

The enormous growth in medical humanities programs during the past decade has resulted in an extensive literature concerning the content of the discipline and the issues that have been addressed. Comparatively little attention, however, has been devoted to the structure of the discipline of medical humanities concerning the process or the theoretical aspects of the pedagogy of teaching the discipline. This report explicitly addresses the pedagogical aspects of the discipline by comparing and contrasting two different basic approaches to the discipline referred to as the classical humanities approach and the humanistic psychology approach which roughly approximate the cognitive and affective approaches respectively. These two approaches are compared and contrasted in terms of their goals, objectives, methods of implementation, philosophical assumptions and evaluational techniques.     

Medical Humanities Teaching in North American Allopathic and Osteopathic Medical Schools

Although the AAMC requires annual reporting of medical humanities teaching, most literature is based on single-school case reports and studies using information reported on schools’ websites. This study sought to discover what medical humanities is offered in North American allopathic and osteopathic undergraduate medical schools. An 18-question, semi-structured survey was distributed to all 146 (as of June 2016) member schools of the American Association of Medical Colleges and the American Association of Colleges of Osteopathic Medicine. The survey sought information on required and elective humanities content, hours of humanities instruction, types of disciplines, participation rates, and humanities administrative structure. The survey was completed by 134 schools (145 AAMC; 31 AACOM). 70.8% of schools offered required and 80.6% offered electives in humanities. Global health and writing were the most common disciplines. Schools required 43.9 mean (MD 45.4; DO 37.1) and 30 (MD 29; DO 37.5) median hours in humanities. In the first two years, most humanities are integrated into other course work; most electives are offered as stand-alone classes. 50.0% of schools report only 0-25% of students participating in humanities electives. Presence of a certificate, concentration or arts journal increased likelihood of humanities content but decreased mean hours. Schools with a medical humanities MA had a higher number of required humanities hours. Medical humanities content in undergraduate curriculum is lower than is indicated in the AAMC annual report. Schools with a formal structure have a greater humanities presence in the curriculum and are taken by more students.     

Affirming the Existential within Medicine: Medical Humanities, Governance, and Imaginative Understanding

This paper first distinguishes governance (collective, autonomous self-regulatory processes) from government (externally-imposed mandatory regulation); it proposes that the second of these is essentially incompatible with a conception of the medical humanities that involves imagination and vision on the part of medical practitioners. It next develops that conception of the medical humanities, as having three distinguishable aspects (all of them distinct from the separate phenomena popularly known as "arts-in-health"): first, an intellectual enquiry into the nature of clinical medicine; second, an important dimension of medical education; third, a resource for moral and aesthetic influences upon clinical practice, supporting "humane health care" as the moral inspirations behind organised medicine. Medical humanities sustains these three aspects through paying proper attention to the existential and subjective aspects of medicine. By encouraging authentic imagination among health care practitioners, medical humanities aligns well with both humane health care and governance in the sense of self-regulation. However, it can neither be achieved mechanistically nor well-measured through proxies such as patient satisfaction. Above all, it should not be allowed to supply, through inappropriate qualitative "targets," new forms of management tyranny.     

The Three Crises: Science, History, and Plurality

Modern religions are confronted by three crises: the scientific evolution, the historical revolution, and the pluralistic revolution. The development of each of these diverse revolutions in Western intellectual history has posed serious challenges to traditional conceptions of religious authority. This paper seeks to briefly elucidate the nature of each of these revolutions and their significance for religious traditions. While the specific challenges posed are separate, the revolutions share common traits. Additionally, it is not enough for a religious tradition to deal with only one of the crises; to proceed into the next stage of religious reflection, it must deal with them all.     

Practices of Looking and the Medical Humanities: Imagining the Unborn in France, 1550–1800

Visuality is a concept used to study vision as an historically and culturally specific activity. Curriculum in the medical humanities could address visuality by stressing how different kinds of practitioners and peoples learn how to see. This paper introduces the visual training promoted by the discipline of art history, analysing early modern French medical images of the unborn as a case study. The goal is to encourage medical practitioners to reflect on their own visual skills, comparing and contrasting them with the visual methodologies of art history.     

Reflective Writing about Near-Peer Blogs: A Novel Method for Introducing the Medical Humanities in Premedical Education

Narrative analysis, creative writing, and interactive reflective writing have been identified as valuable for professional identity formation and resilience among medical and premedical students alike. This study proposes that medical student blogs are novel pedagogical tools for fostering peer-to-peer learning in academic medicine and are currently underutilized as a near-peer resource for premedical students to learn about the medical profession. To evaluate the pedagogical utility of medical student blogs for introducing core themes in the medical humanities, the authors conducted qualitative analysis of one hundred seventy-six reflective essays by baccalaureate premedical students written in response to medical student-authored narrative blog posts. Using an iterative thematic approach, the authors identified common patterns in the reflective essays, distilled major themes, coded the essays, and conducted narrative analysis through close reading. Qualitative analysis identified three core themes (empathic conflict, bias in healthcare, and the humanity of medicine) and one overarching theme (near-peer affinities). The premedical students’ essays demonstrated significant self-reflection in response to near-peer works, discussed their perceptions of medical professionalism, and expressed concerns about their future progress through the medical education system. The essays consistently attributed the impact of the medical student narratives to the authors’ status as near-peers. The authors conclude that reading and engaging in reflective writing about near-peer blog posts encourages premedical students to develop an understanding of core concepts in the medical humanities and promotes their reflection on the profession of medicine. Thus, incorporating online blogs written by medical trainees as narrative works in medical humanities classrooms is a novel pedagogical method for fostering peer-to-peer learning in academic medicine.

     

Who we are: The political origins of the medical humanities

The medical humanities were organized, beginning in the late 1960s, by a small group of people who shared a critique of medical education and a commitment to vigorous action to change it. They proposed to create several demonstration programs in humanities education at American schools. Although the group began with a religious orientation, it soon acquired a broader, more secular mission. As a result of shrewd political organizing, the group attracted members from within medicine, and was awarded a grant to promote the medical humanities. This paper describes these events and sets them in the context of the social and medical history of the 1960s and early 1970s.     

Artificial Intelligence and Medical Humanities

The use of artificial intelligence in healthcare has led to debates about the role of human clinicians in the increasingly technological contexts of medicine. Some researchers have argued that AI will augment the capacities of physicians and increase their availability to provide empathy and other uniquely human forms of care to their patients. The human vulnerabilities experienced in the healthcare context raise the stakes of new technologies such as AI, and the human dimensions of AI in healthcare have particular significance for research in the humanities. This article explains four key areas of concern relating to AI and the role that medical/health humanities research can play in addressing them: definition and regulation of “medical” versus “health” data and apps; social determinants of health; narrative medicine; and technological mediation of care. Issues include data privacy and trust, flawed datasets and algorithmic bias, racial discrimination, and the rhetoric of humanism and disability. Through a discussion of potential humanities contributions to these emerging intersections with AI, this article will suggest future scholarly directions for the field.

     

Toward an Aesthetic Medicine: Developing a Core Medical Humanities Undergraduate Curriculum

The medical humanities are often implemented in the undergraduate medicine curriculum through injection of discrete option courses as compensation for an overdose of science. The medical humanities may be reformulated as process and perspective, rather than content, where the curriculum is viewed as an aesthetic text and learning as aesthetic and ethical identity formation. This article suggests that a "humanities" perspective may be inherent to the life sciences required for study of medicine. The medical humanities emerge as a revelation of value inherent to an aesthetic medicine taught and learned imaginatively.     

Striving to do Good Things: Teaching Humanities in Canadian Medical Schools

We provide the results of a systematic key-informant review of medical humanities curricula at fourteen of Canada's seventeen medical schools. This survey was the first of its kind. We found a wide diversity of views among medical educators as to what constitutes the medical humanities, and a lack of consensus on how best to train medical students in the field. In fact, it is not clear that consensus has been attempted - or is even desirable - given that Canadian medical humanities programs are largely shaped by individual educators' interests, experience and passions. This anarchic approach to teaching the medical humanities contrasts sharply with teaching in the clinical sciences where national accreditation processes attempt to ensure that doctors graduating from different schools have roughly the same knowledge (or at least have passed the same exams). We argue that medical humanities are marginalized in Canadian curricula because they are considered to be at odds philosophically with the current dominant culture of evidence-based medicine (EBM). In such a culture where adhering to a consensual standard is a measure of worth, the medical humanities - which defy easy metrical appraisal - are vulnerable. We close with a plea for medical education to become more comfortable in the borderlands between EBM and humanities approaches.