Beyond Credentials: The Effect of Physician Sex and Specialty on How Physicians Are Perceived

The experiment investigated the effect of physician sex and specialty on participants’ perceptions of doctors. Participants (N = 206) viewed a physician profile (male/female orthopedic surgeon or male/female dermatologist) and then evaluated the physician on a survey. While male participants reported they would be more willing to see a female physician and believed female physicians would be more caring, female participants reported they would be more willing to see physicians in counter-stereotypical specialties and rated them as more caring. The study suggests that not only do men and women focus on different things in selecting physicians but also that negative stereotypes of female physicians have dramatically decreased.     

“Caring‐about” and the Problem of Overwhelming Obligations

Care theorists often think of care as involving (at least) “caring‐about”—concern or attentiveness—and “caring‐for”—acting to nurture, look after, or meet needs. One problem for any theory of care is the scope of our obligations to care in both of those senses; in particular, our capacities for “caring‐about” often outrun our capacities for “caring‐for.” Accounts of care as potentially global in scope may ascribe overwhelming obligations to moral agents; however, we are often tempted to avoid or ignore situations that may call for a caring response. I suggest that some Kantian ideas may help to strike a reasonable balance.     

Adoption in Judaism

Abstract : This article examines of the place of adoption in Jewish thought and law. Adoption is undocumented in the Hebrew Bible, but some verses suggest—or have been said to describe—realities similar to adoption. Beginning with a discussion of the immutability of the relationships in the biological family, this article discusses the merits of caring for orphans and the special halakhic situations that arise for a Jewish family that pursues a civil adoption. The article concludes with a discussion of adoption as a metaphor for a convert's relationship with the ancestors of the Jewish people.     

Love as a Problem of Knowledge in Kierkegaard's Either/Or and Plato's Symposium

At the end of the essay “Silhouettes” in Either/Or, Kierkegaard writes, “only the person who has been bitten by snakes knows what one who has been bitten by snakes must suffer.” I interpret this as an allusion to Alcibiades' speech in Plato's Symposium. Kierkegaard invites the reader to compare Socrates with Don Giovanni, and Alcibiades with the seducer's women. Socrates' philosophical method, in this light, is a deceptive seduction: just as Don Giovanni's seduction leads his conquests to unhappy love—what Kierkegaard terms “reflective sorrow”—so the elenctic method leads Socrates' interlocutors to aporia, not to knowledge. I offer a critique of Socrates' ironic stance as a philosopher, which stance is reflected in the theory of love he presents in the Symposium, and suggest that philosophy should be modeled on the romantic love of persons—a love that can be reciprocated—not the love of an impersonal Form, a one-sided love.     

“Till Death Us Do Part”: Issues of Fidelity in End of Life Care

SUMMARY

This paper was born of the experience of caring for a loved one at the end of life. The sense of being torn between accepting one's lot and wishing for something “other” is at the heart of the concept described as “intimate fidelity.” Intimate fidelity is discussed as part of a multi-layered concept of fidelity, embracing aspects of the professional caring relationship, and which builds into a value that shapes the fabric of the community.

Academic literature fails to address this understanding of fidelity, so with some creativity, we turned to popular literature—novels and biographies—to find rich understandings of the concept of fidelity. Then following a traditional system of thematic analysis, three aspects of the concept of fidelity are presented, in the context of caring for loved ones, professional caring, and caring in the community.     

Body Image and Depression in Women With Early and Late Onset Obesity

Three groups of women (N = 27 in each group) were compared: women of normal weight and asymptomatic for eating disorders (M = 125.5 lb); women with early onset obesity—before 13 years (M = 182.4 lb); and women with adult onset obesity—17 years or over (M = 172.4 lb). Subjects (M age = 40.7 years) were obtained through church and business groups. Body image and depression were assessed, respectively, by three scales of the Body-Self Relations Questionnaire (Winstead & Cash, 1983) and by the Beck Depression Inventory (Beck, 1967). The combined group of obese subjects rated their bodies as less fit than normal weight subjects (p<.01). However, there were no other significant differences between obese and normal weight subjects. Also, no significant differences were found between the early and late onset groups. Results showed that (a) there is a subpopulation of obese women who are relatively satisfied with their bodies and whose psychological adjustment is no different from that of other women, and that (b) an early onset of obesity does not necessarily have more serious psychological consequences than late onset.     

The Disappearing (or Ghost) Mother Transference: In Search of the Available Mother Within

As analysts, we speak of maternal transference as if it were a unitary phenomenon. We are trained to expect intense, powerful transference reactions. Yet there is a group of female patients who have a specific type of transference that lacks intensity. These patients often present by not presenting. I term this phenomenon the disappearing (or ghost) mother transference. This transference is quiet and does not create much stress. Using a case example, I will define this particular type of object relationship and discuss an alternative technique in treating these patients. It is my premise that these women must discover for themselves, at their own time and in their own way, the caring, living, available mother in the analyst.     

Why Should a Knower Care?

This paper argues that the concept of care is significant not only for ethics, but for epistemology as well. After elucidating caring as a five‐step dyadic relation, I go on to show its epistemic significance within the general framework of virtue epistemology as developed by Ernest Sosa, Alvin Goldman, and Linda Zagzebski. The notions of “care‐knowing” and “care‐based epistemology” emerge from construing caring (respectively) as a reliabilist and responsibilist virtue.     

Feminist directions in medical ethics

I explore some new directions—suggested by feminism—for medical ethics and for philosophical ethics generally. Moral philosophers need to confront two issues. The first is deciding which moral issues merit attention. Questions which incorporate the perspectives of women need to be posed—e. g., about the unequal treatment of women in health care, about the roles of physician and nurse, and about relationship issues other than power struggles. “Crisis issues” currently dominate medical ethics, to the neglect of what I call “housekeeping issues.” The second issue is how philosophical moral debates are conducted, especially how ulterior motives influence our beliefs and arguments. Both what we select—and neglect—to study as well as the “games” we play may be sending a message as loud as the words we do speak on ethics.     

Hindu Women,Destiny and Stridharma

Ideas about destiny —about how and why things occur and what they promise for the future —have rarely been discussed in relation to gender. By discussing the sociological and anthropological literature on karma and other sources of misfortune, andstridharma, I provide a context for examining the views of Hindu women on destiny, particularly those living in Britain. In addition to examining their references to a variety of spiritual forces which influence events and to their duties as daughters, wives and mothers, I consider the issues of resistance, intervention, agency and autonomy. It is my contention that when contemporary Hindu women speak about fate, karma, divine agency and freewill what they say can only be understood with reference to their dharma as women.     

THE IMPACT OF DEPRESSION ON MATERNAL RESPONSES TO INFANT FACES IN PREGNANCY

Research has suggested that prenatal depression may be associated with disrupted maternal responses to infant stimuli, with depressed pregnant women not showing the bias toward distressed infants as that observed in nondepressed pregnant women. The current study examined the effects of depression on self‐ reported responses to infant stimuli, in early pregnancy. Women with clinical depression (n = 38), and nondepressed women (n = 67) were recruited from a wider cognitive behavioral therapy trial. They completed Maternal Response Scales in which they were presented with images of distressed, neutral, and happy infant faces, with no time limit. The women rated their responses to these images along three dimensions—wanting to comfort, wanting to turn away, and feelings of anxiety—using Likert scales via a computerized task. There was evidence that women with depression in pregnancy showed different responses than did women without depression. Women with depression were substantially more likely to be in the highest quartile for ratings of wanting to turn away, odds (OR) ratio = 4.15, 95% confidence intervals (CIs) = 1.63–10.5, p = .003, and also were substantially less likely to be in the highest quartile for wanting to comfort a distressed infant face, OR = 0.22, 95% CIs = 0.09–0.54, p < .001. Findings are consistent with there being both a heightened avoidant and a reduced comforting response toward distressed infants in depressed pregnant women, providing some support that depression disrupts maternal preparations at a conscious level.     

The secrets that you keep: Secrets and relationship quality

Research indicates that preoccupation with secrets takes a toll on mental health. There is also some evidence to suggest that keeping secrets from one's romantic partner may harm the relationship as it implies a lack of trust that one's partner will be supportive. Two 4-wave longitudinal surveys of 609 adults (34.3% men, 65.4% women; M_age = 36.4) keeping a secret from their romantic partner was used to assess the lagged effect of preoccupation with the secret on subsequent relationship satisfaction, trust, and emotional intimacy as well as the reverse. Cross-lagged panel modeling with random intercepts indicated that whereas individuals in poorer relationships were more preoccupied with their secrets, there was no evidence for cross-lagged effects. The findings suggest that secrecy may be a symptom—not a cause—of a dissatisfying, distrustful and distant relationship.     

Women's attraction to benevolent sexism: Needing relationship security predicts greater attraction to men who endorse benevolent sexism

Benevolent sexism prescribes that men should cherish and protect women in intimate relationships. Despite the romantic tone of these attitudes, prior research indicates that benevolent sexism undermines women's competence, ambition, and independence. Ambivalent sexism theory proposes that benevolent sexism is able to incur these costs because the promise of a chivalrous and protective partner offers women security in their intimate relationships. We tested this key proposition by examining whether women who intensely need relationship security—women higher in attachment anxiety—are more attracted to men who endorse benevolent sexism. Highly anxious women (N = 632) rated men described as endorsing benevolent sexism as relatively more attractive, and reported greater preferences for partners to hold benevolently sexist attitudes. These results advance understanding regarding the underlying reasons women find benevolent sexism appealing and identify who will be most vulnerable to the potential costs of benevolent sexism.     

On the Association of Sex and Violence In the Fantasy Production of College Students*

ABSTRACT: This paper investigates whether there is an association between sexual imagery and violent imagery in stories produced in response to ambiguous Thematic Apperception Test stimuli. In addition, two commonsense assumptions about sex and violence are examined: (a) do men have more sexual imagery than women? and (b) assuming men are more aggressive than women, do they produce fantasies with more violent themes? Thematic Apperception Test protocols administered to 80 college students as part of a study conducted at Syracuse University in the late 1950s were examined using two scoring systems—one for sexual imagery and one for violent imagery. An association between sex and violence was found for men only. The conventional wisdom that all men ever think about is sex was undermined by the finding that men and women do not differ in the production of sexual imagery. In terms of production of violent imagery, men and women also do not differ. The fact that females are less aggressive than men in overt behavior may be a function of social and cultural forces which operate differentially on men and women.     

“Bad philosophy” and “derivative philosophy”: Labels that keep women out of the canon

Efforts to include women in the canon have long been beset by reactionary gatekeeping, typified by the charge “That's not philosophy.” That charge doesn't apply to early and mid-analytic female philosophers—Welby, Ladd-Franklin, Bryant, Jones, de Laguna, Stebbing, Ambrose, MacDonald—with job titles like lecturer in logic and professor of philosophy and publications in Mind, the Journal of Philosophy, and Proceedings of the Aristotelian Society. It's hopeless to dismiss their work as “not philosophy.” But comparable reactionary gatekeeping affects them, this paper argues, typified by the labels “bad philosophy” and “derivative philosophy.” Virtue and vice epistemology help explain why these women have been neglected and why their own approaches are epistemically virtuous. Their contemporaries and historians are deficient in scholarly virtues in labelling these women's work “bad” or derived from male mentors with no or specious justification. Their disparaged qualities—intellectual humility, modesty, critical self-reflection, disclosing biases—are often epistemic virtues.     

Sexual freedoms

Women—still—experience different forms of sexism in their daily lives. After the sixteenth‐century Protestant proclamation of the blessings of motherhood and women's bodies, and the women's sexual liberation movement of the 1960s, women's real freedoms and rights with their bodies, including sexual relations and procreation, are still being negotiated. Violence against women's bodies, including sex trafficking, relates to both the lack of appropriate education and fundamentally distorted views of humanity. Considering Luther's teaching on women as imago Dei, and attending theologically to the issues pertaining to misogyny—such as reforming the traditionally male‐centered God‐language and challenging the culture's implicit permission for ongoing violence against women—are some of the concrete steps that can be taken. Given the revelations with the #MeToo movement, the ELCA's 2018 draft on the Social Statement on Gender and Justice is timely.     

The Orsino complex: Men who love themselves as love objects

Abstract

The Duke Orsino, in Shakespeare's Twelfth Night, is cited as the archetypal embodiment of a psychological complex which, it is argued, may affect many men in modern patriarchal societies. This condition named the ‘Orsino complex’ is characterized by the subject's experience of being in love with himself as a love object. It is the consequence of the subject's very early experience of his mother's dual psychological reactions to him as a male child. The first of these, and the more significant, I have called maternal phallic projection, while the second I term maternal withdrawal. I also consider the influence of the father upon this complex.

While this paper remains speculative in its present form—that is, its central thesis is based on fictional and not on clinical material—it might, I hope, assist all of us working psychodynamically in understanding further some of the severe problems that male clients present in their relationships with women, as well as directing further research into the complexities of gender identity in contemporary society.     

Fatherhood and Child Support: Do Men Have a Right to Choose?

ABSTRACT My primary aim is to call into question an influential notion of paternal responsibility, namely, that fathers owe support to their children due to their causal responsibility for their existence. I argue that men who impregnate women unintentionally, and despite having taken preventative measures, do not owe child support to their children as a matter of justice; their children have no right against them for support. I argue for this on the basis of plausible principles of responsibility which have been used to defend abortion rights. I then consider the morally relevant differences between men and women, arguing that while in some cases these differences may justify differential treatment, their import should not be overstated — in many cases, the burden of child support will be too great to impose justly on fathers. This conclusion is not as undesirable as it may seem: I suggest feminist considerations in favour of revising the notion of paternal responsibility and consider alternative arrangements of child support.