Family coercion and valid consent

Coercion is commonly said to invalidate consent, and that is always true if the source of the coercion is the physician. However, if it is a family member who coerces the patient to consent, the resultant consent may be quite valid and treatment should proceed.     

Autonomy and coercion in disease prevention and health promotion

Most of the attention regarding the balance between autonomy and paternalism has been focused on the therapeutic relation. Much less attention has been devoted to the problem of autonomy in the application of medical knowledge for preventive purposes. Here, because the good to be achieved is social as well as individual, an unavoidable dilemma ensues. Effective preventive measures of benefit to all must necessarily limit autonomy and involve some coercion. I argue that there are principles which can be established to guide society in a moral use of coercion. The question of employing medical knowledge is not, as it is in therapeutic medicine, to preserve or enhance autonomy. Rather its aim is to enhance voluntary co-operation. Principles for moral use of coercion must thereby be derived from health as a moral value.     

Faith,evidence, coercion again

Primary quality theories of colour claim that colours are intrinsic, objective, mind-independent properties of external objects. However, a recent, empirically motivated argument seems to have convinced many that primary quality theories cannot be sustained. This argument, in outline, alleges that colours bear structural relations to each other that no primary qualities bear to each other, and therefore that colours cannot be primary qualities. I believe the argument in question has been misunderstood. In this paper I shall examine arguments based on the structural properties of the colours in order to discern what they do and do not show about primary quality theories of colour.     

Sexual coercion in high school dating

Retrospective data from a survey of Australian undergraduate university students indicated that sexual coercion leading to sex play and sexual intercourse is a feature of dating behavior in high school. Fifty-three percent of 217 females reported that a boy had overestimated the level of sexual intimacydesired, while 45 percent of 72 males reported that a girl had underestimated the level of sexual intimacydesired. While data was not gathered on ethnic origin, the majority of students were Australian born, although family of origin would have been culturally varied. The data illustrate sexual coercion leading to both sex play and intercourse, with a number of factors being implicated in its occurrence, including alcohol and drugs and males saying things they didn't really mean, through to threat and use of force. They support that the existence of sexual coercion among high school students, a population that has received little research attention in this area, is comparable to its existence in the college/university years.     

Genetic effects on male sexual coercion

The genetic and environmental influences on sexual coercion, and to what extent its associations with alcohol use and psychopathy depend on shared genetic and environmental effects, were explored in a Finnish population-based sample of 938 men, aged 33-43 years, using the classical twin study design. All three phenotypes were associated positively and affected by genes (sexual coercion 28%, alcohol use 60%, psychopathy 54%), with 46% of the correlation between sexual coercion and psychopathy, 89% of the correlation between alcohol use and psychopathy and 100% of the correlation between sexual coercion and alcohol use being explained by shared genetic effects. Further, the results showed that a proportion of the variance in sexual coercion was derived from a highly genetic source that was common with alcohol use and psychopathy. This latent factor was hypothesized to reflect a general tendency for antisocial behavior that is pervasive across different situations. Relevant theories on sexual coercion were discussed in light of the results.     

Marx and Exploitation

The discussion of the adequacy of Karl Marx's definition of exploitation has paid insufficient attention to a prior question: what is a definition? Once we understand Marx as offering a “reference-fixing definition in a model” we will realise that it is resistant to certain objections. A more general analysis of exploitation is offered here and it is suggested that Marx's own definition is a particular instance of the general analysis which makes a number of controversial moral assumptions.     

Caring and Exploitation

It is not wholly clear the extern to which Nel Nodding intends her ethic of caring to be an ethic that stands on its own in competition with others described by ethical theories. I argue that, given this ambiguity, Nodding' ethic of caring is a dangerous ethic because it can abet exploitation. I consider Noddings'responses to this criticism and conclude that the relational ontology of the ethic cannot rescue it from the charges of abetting exploitation.     

The influence of sex and sex role orientation on sexual coercion

One hundred female and 77 male college students completed a questionnaire in which they indicated whether they had ever used physical or verbal coercive strategies to initiate sexual behavior with a partner, or had ever engaged in sexual behavior in response to a partner's coercive initiatives. Results showed that males are far more likely than females to initiate coerced sexual behavior and females are more likely to be victimized. In addition, masculine persons reported using coercive strategies more than other sex role orientation types. However, this was due principally to the fact that males were masculine types much more frequently than females. Therefore, sex (that is, being male or female) seems a more critical factor in determining, initiating, or responding to sexual coercion than sex role orientation.     

Minority influence and musical preference: Innovation by conversion not coercion

Studied the effect of social categorization, strength of influence and predisposition to influence on social influence concerning musical preferences. One-hundred and sixty-eight French adolescents (age 15 years) were assigned to the eight conditions of a 2 (social categorization: majority/minority) × 2 (strength of influence: strong/weak) × 2 (predisposition to influence: pervious/impervious) design. Influence source was an opinion poll based on pupils from two types of secondary school. Direct influence was exerted from ‘hard-rock’ to ‘new wave’ music; indirect influence was measured by subjects' preferences for hard-rock versus ‘contemporary’ music. Ratings of the source were also elicited. Analyses of variance revealed indirect influence to be significantly greater with the minority than the majority source (p < 0.02). Indirect influence was especially high for subjects with a clear predisposition to influence and when the influence was weak (p < 0.0005). Further analyses confirmed the effect to be due to the actual numbers of subjects influenced. The study thus demonstrated the generalizability of the ‘conversion’ notion (minority influence on an indirect level) from numerical to social minorities.     

Sexual coercion in lesbian and gay relationships: A review and critique

Sexual coercion, or pressure to engage in unwanted sexual behavior, has been a popular research topic for social scientists interested in heterosexual relationships. Only recently have researchers turned their attention to lesbian and gay couples. Several research studies are reviewed to assess rates, causes, and effects of sexual coercion in lesbian and gay relationships. Several methodological issues that limit usefulness of findings on homosexual sexual coercion are discussed as well as reasons why social scientists have been reluctant to investigate sexual coercion in lesbian and gay relationships.     

Legitimized aggression and sexual coercion: Individual differences in cultural spillover

Correlations between aggressive attitudes and sexual coercion have consistently been found in numerous empirical studies across social science disciplines. Extrapolating from sociological research linking indices of legitimate aggression by state to statewide frequencies of rape, we have extended the investigation of legitimate aggression and coercive sexuality to the individual level. The specific purposes of this research were to index the breadth and level of endorsement of legitimized aggression at the individual level and to measure the association between such an index and coercive sexual behavior. These purposes were achieved across the course of three studies in which we created a new dispositional measure, the Proclivity for Legitimized Aggression Questionnaire (PLAQ), and replicated a sociocultural level correlation with coercive sexual behavior (Study 1); assessed the individual differences level construct validity of the PLAQ (Study 2); and tested whether endorsement of items on the PLAQ were related to content‐relevant behaviors (Study 3). The PLAQ was internally consistent, modestly but significantly correlated with a measure of self‐reported coercive sexual behavior, and characterized by promising construct validity. Aggr. Behav. 27:26–43, 2001. © 2001 Wiley‐Liss, Inc.     

Manipulation and force as sexual coercion tactics: conceptual and empirical differences

This study examines the relationship between perpetrator characteristics, situational characteristics, and type of sexual coercion tactics used to obtain sexual contact (including sexual intercourse) with an unwilling partner. Men who used manipulation or force were compared to each other and to men who engaged in only consensual sex. Participants were college men drawn from the first wave of a 5-year longitudinal study. Stepwise discriminant function analyses, univariate analyses of variance (ANOVA), and chi(2) analyses tested group differences. As predicted, men who used force reported more childhood sexual abuse, witnessed more domestic violence, were more accepting of male violence, and were less likely to endorse love as a motive for sex than men in both the manipulation and consent groups. Men in the force group were also more likely to have had a casual relationship with the woman, and to be drinking and also intoxicated during the coercive incident than men in the manipulation group. Hypothesized differences between men who used force and manipulation regarding parental physical punishment, traditional gender role attitudes, delinquency, hedonistic and dominance motives for sex, prior sexual contact, and the length of the relationship were not supported. The results suggest that types of tactic used in sexual assaults can be distinguished on the basis of person and situational variables and that knowledge of these differences can facilitate future research, as well as rape deterrent and intervention programs.     

Assessment of a sexual coercion prevention program for adolescents

This study's focus is to evaluate a sexual coercion prevention program in adolescents. Using a before-and-after design with both a treatment group (n = 93) and a control group (n = 76), an intervention of seven sessions was completed. Said sessions included such content as conceptualizing sexual freedom, sexual coercion and voluntary consent, analyzing different sexual coercion tactics and the contexts in which they occur, empathy toward the victim, and developing abilities to avoid risky situations. Other risk factors for coercive behavior and sexual victimization are explored as well, such as alcohol use, sexist attitudes and inadequate communication, among others. The intervention's results include a decrease in stereotypical beliefs about the opposite sex and increased empathy toward victims of sexual coercion. These changes were maintained with the passage of time. Also, in the treatment group, a more acute decline was observed in the proportion of young people engaging in sexually coercive behaviors, This article emphasizes the importance, necessity and efficacy of such interventions, and discusses and analyzes possible improvements to the program for its future implementation.     

Why people resort to coercion: the role of utility and legitimacy

This study focuses on why people may resort to coercive tactics. We tested the proposition that considerations of utility and legitimacy mediate effects of a powerholder's competence and reward structure on the use of coercion. Results showed that in general coercive tactics are employed less often than softer tactics, that coercive tactics are used more by more competent individuals than by less competent individuals, and that coercive tactics are used more often when the revenues of task performance benefited the agent of power than when they benefited both agent and target or when they benefited the target solely. Results identified perceived utility and perceived legitimacy as mediators of the decision to coerce the other or not. Copyright © 2006 John Wiley & Sons, Ltd.     

A philosophical examination of coercion for mental health issues

This article considers two philosophical questions about coercion and mental disorders: (1) an analytical question, i.e., what is meant by the concept of coercion? (2) a normative question, i.e., what justifies the use of coercion? The article distinguishes between coercion from other forms of power such as inducement, persuasion, and authority. It then considers a range of arguments for the paternalistic use of coercion for the benefit of mentally disordered persons and the use of coercion to restrain mentally disordered dangerous persons. This article rests on the assumption that there is something to be said for an academic division of labour, that empirical research in mental health and the law can benefit from conceptual clarification and the analysis of normative arguments. In this article I distinguish between two importantly different sorts of questions that we can ask about coercion and then offer some answers to those questions in broad strokes.