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Surgery is an important part of contemporary health care, but currently much of surgery lacks a strong evidence base. Uptake of evidence‐based medicine (EBM) methods within surgical research and among practitioners has been slow compared with other areas of medicine. Although this is often viewed as arising from practical and cultural barriers, it also reflects a lack of epistemic fit between EBM research methods and surgical practice. In this paper we discuss some epistemic challenges in surgery relating to this lack of fit, and investigate how resources from feminist epistemology can help to characterize them. We point to ways in which these epistemic challenges may be addressed by gathering and disseminating evidence about what works in surgery using methods that are contextual, pluralistic, and sensitive to hierarchies.  相似文献   

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Helen Longino's account of objectivity has been highly regarded by both feminist and mainstream philosophers of science. However, I have encountered three feminist philosophers who have all offered one especially compelling feminist critique of Longino's view: far from vindicating or privileging the work of feminist scientists, Longino's account actually requires the active cultivation of anti‐feminist and misogynist scientists to balance out the possibility of feminist bias. I call this objection the Nazi problem, for the particular version that claims that her view requires even the active cultivation of Nazi scientists in objective inquiry. In this paper I consider one response to the Nazi problem, which I call the good faith argument. I show that the good faith argument itself is just as objectionable, on feminist grounds, as the Nazi problem it is meant to address.  相似文献   

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Oksana Yakushko 《Sex roles》2007,57(3-4):223-234
Relations between women’s patterns of feminist identity development and their subjective well-being were explored through an online study with a sample of 691 women ages 18 to 83 from across the United States. The results of a hierarchical cluster analysis indicated that women fall into three groups based on their feminist identity development processes: Women with Traditional Values, Women with Moderate Values, and Women with Feminist Values. The results of the analysis of covariance showed that women who held feminist and moderate values scored significantly higher on a measure of overall well-being—particularly on subscales measuring purpose in life, autonomy, and personal growth—than women with traditional values.  相似文献   

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The psychology of self-esteem bypasses consequential issues of everyday behavior and moral responsibility in favor of pursuing a global goal of enhanced self-esteem on the assumption that happiness, success, and responsible behavior will automatically follow. The goal is vague and ways of achieving it are confused and conflicting. Greater attention to concrete tasks and challenges and sensitivity to moral issues could help make therapy more clear, effective, and socially useful.  相似文献   

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Two experiments examined infants' expectations about how an experimenter should distribute resources and rewards to other individuals. In Experiment 1, 19-month-olds expected an experimenter to divide two items equally, as opposed to unequally, between two individuals. The infants held no particular expectation when the individuals were replaced with inanimate objects, or when the experimenter simply removed covers in front of the individuals to reveal the items (instead of distributing them). In Experiment 2, 21-month-olds expected an experimenter to give a reward to each of two individuals when both had worked to complete an assigned chore, but not when one of the individuals had done all the work while the other played. The infants held this expectation only when the experimenter could determine through visual inspection who had worked and who had not. Together, these results provide converging evidence that infants in the 2nd year of life already possess context-sensitive expectations relevant to fairness.  相似文献   

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Traditionally, constitutionalists have offered just one notion of constitution to analyse the relation that an object, such as a statue or a chain, bears to the object/s from which it is made: let us say, a piece of marble in the first case or a piece of metal in the second. Robert Wilson proposes to differentiate two notions of constitution and, in this way, to offer constitutionalists a more varied range of metaphysical tools. To justify the introduction of the difference, he presents several phenomena and problems, the explanation of which would justify the distinction he makes. In this paper I argue that Wilson’s proposal would not increase the explanatory power of a theory of constitution as it has traditionally been understood, only its complexity. Increasing the complexity without increasing the explanatory power of a theory, I defend, goes against one, at least prima facie, basic theoretical virtue: parsimony. In my argumentation I crucially use, for the case of Wilson’s first three arguments, the existence of principles of existence?persistence, which constitutionalists, Wilson among them, usually accept. In arguing against Wilson’s fourth argument I use a slightly modified version of Lynne Rudder Baker’s theory of constitution.  相似文献   

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Corporations have often been taken to be the paradigm of an organization whose agency is autonomous from that of the successive waves of people who occupy the pattern of roles that define its structure, which licenses saying that the corporation has attitudes, interests, goals, and beliefs which are not those of the role occupants. In this essay, I sketch a deflationary account of agency-discourse about corporations. I identify institutional roles with a special type of status function, a status role, in which the collectively accepted function is expressed in part through its occupier’s intentional expression of her agency in that role (where the occupier is part of the group whose collective acceptance underwrites her having the relevant function in social transactions). I identify institutions as systems of status roles and show how this is compatible with seeing the agency of institutions generally, even over time periods in which there is complete change in role occupiers, as a matter of the contributions only of individual agents. I explain how the reduction of the institution to its members is compatible with its potentially having had a completely different membership. I show in the case of the corporation in particular that, once we see its origins and function, the surface features of legal discourse about corporate agency are misleading and are compatible with a deflationary account of corporate agency. I show in connection with this that the corporation is to be identified with its shareholders, and that where a corporation separates ownership and control, its managers and employees are proxy agents of the shareholders doing business under the corporate form. Finally, I canvass the legitimate ways of construing ordinary talk about corporate intention, belief, and so on, in light of this, none of which support the attribution of genuine agency or intentionality to any group per se associated with the corporation.  相似文献   

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The Implicit Association Test (Greenwald, McGhee, & Schwartz, 1998) is a categorization task intended to measure the strength of associations between concepts. The present research investigated the influence of individual stimuli on IAT effects. Exploring implicit attitudes of East and West Germans, we systematically manipulated relatedness of target stimuli to the attribute dimension and, simultaneously, relatedness of attribute stimuli to the target dimension. Two experiments demonstrate the influence of stimulus associations as one source that drives IAT effects. Depending on the strength and the direction of these cross-category associations, the result was either stronger IAT effects or a decline of IAT effects. Implications for theoretical models as well as for the interpretation of IAT effects are discussed.  相似文献   

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This paper was presented at the XIX World Congress of Philosophy, “Mankind at a Turning Point: Philosophical Perspectives” held in Moscow, August 22-28, 1993. The author, representing the International Association of Women Philosophers, criticizes the use of “Mankind” in the Congress title and incorporates a resolution, subsequently passed unanimously by the steering committee of the Fédération Internationale des Sociétés de Philosophic, that calls for the use of non-sexist language at future World Congresses.  相似文献   

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The terms “health”, “disease” and “illness” are frequently used in clinical medicine. This has misled philosophers into believing that these concepts are important for clinical thinking and decision making. For instance, it is held that decisions about whether or not to treat someone or whether to relieve someone of moral responsibility depend on whether the person has a disease. In this paper it is argued that the crucial role of the ‘disease’ concept is illusory. The health/disease distinction is irrelevant for most decisions and represents a conceptual straightjacket. Sophisticated and mature clinical decision making requires that we free ourselves from the concept of disease.  相似文献   

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To what extent are women obliged to be child-bearers? If reproductive technology could offer some form of ectogenesis, would feminists regard it as a liberating reproductive option? Three lines of reproductive rights arguments currently used by feminists are applied to ectogenesis. Each fails to provide strong grounds for prohibiting it. Yet, there are several ways in which ectogenesis could contribute to women's oppression, in particular, if it were used to undermine abortion rights, reinforce traditional views of fertility, increase fetal rights in pregnancy, and perpetuate the unequal distribution of scarce medical resources. A re-thinking of women's relationship to pregnancy is needed in order to challenge ectogenetic research.  相似文献   

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The body of recent American research indicates that women continue to perform the vast majority of household labor. Understanding the conditions under which couples can achieve an egalitarian division of household labor constitutes one of the first steps in attaining gender equity in the private and public spheres. This article discusses the state of research on the division of household labor published between 2000 and 2009. After a discussion of conceptualization and methodological issues, we review empirical findings that support or challenge the micro- and macro-level perspectives (focusing on individual characteristics and national contexts, respectively) that have been proposed to explain the gendered allocation of labor. We then review studies focusing on the interplay between these two prominent perspectives.  相似文献   

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