Taking care of one's own: justice and family caregiving

This paper asks whether adult children have aduty of justice to act as caregivers for theirfrail, elderly parents. I begin (Sections I.and II.) by locating the historical reasons whyrelationships within families were not thoughtto raise issues of justice. I argue that thesereasons are misguided. The paper next presentsspecific examples showing the relevance ofjustice to family relationships. I point outthat in the United States today, the burden ofcaregiving for dependent parents fallsdisproportionately on women (Sections III. andIV.). The paper goes on to use Rawls'theoretical tool of the veil of ignorance toargue that caring for parents should not belinked to a person's sex and more generally,that there is no duty of justice to assume therole of caregiver for dependent parents(Sections V.). Although justice does notprovide the moral foundations for parent care,I show that it nonetheless places importantlimits on the instinct to care. I concludethat the voice of justice should be audible,and is intrinsically present, withinfamilies.     

Sterilizations reconsidered?

Cowdin and Tuohey argue for a rethinking of Catholic bioethical principles and the Church's moral authority. Citing the Second Vatican Council for support, they argue that if the Church were to respect the proper autonomy of medicine, it would allow sterilizations. In this essay I argue against Cowdin and Tuohey's understanding that the Church has derived its moral laws independent of consultation with medicine and that it treats medicine simply as a source of technical expertise. I also argue that they misunderstand that nature of autonomy as well as the Church's position regarding the type of autonomy they request for medicine. I will especially argue against their understanding of the principles of totality and double effect as "dispensations" from the moral order. I conclude that they have provided no grounds to cause the Church to reconsider its condemnation of all sterilizations.     

There is no moral authority in medicine: response to Cowdin and Tuohey.

Central to the Cowdin-Tuohey paper is the concept of a moral authority proper to medical practitioners. Much as I agree with the authors in refusing to degrade doctors to the status of mere technicians, I argue that one does not succeed in retrieving the moral dimension of medical practice by investing doctors with moral authority. I show that none of the cases brought forth by Cowdin-Tuohey really amounts to a case of moral authority. Then I try to explain why no such cases can be found. Developing an insight that is common to all the major moral thinkers in the philosophia perennis, I show that doctors are professionally competent with respect only to a part of the human good; morally wise persons are competent with respect to that which makes man good as man. I try to show why it follows that a) professional expertise has no natural tendency to pass over into moral understanding, and that b) doctor and non-doctor alike start from the same point in developing their understanding of medical morality. It follows that the authors fail in their attempt to de-center the moral magisterium of the Church by setting up centers of moral authority outside of the Church.     

Gender Identity and Adjustment in Middle Childhood

This article has two purposes. The first is to present a brief (and speculative) account of the developmental origins of the several components of gender identity featured in the multidimensional model of gender identity proposed by Egan and Perry (2001). The second is to offer additional empirical support for the construct and discriminant validity of the various gender identity dimensions. Children (M age = 11.5 years) were assessed for 4 components of gender identity: (a) felt gender typicality, (b) contentment with gender assignment, (c) felt pressure for gender conformity, and (d) intergroup bias (the sentiment that one's own sex is superior). Gender typicality, gender contentedness, and felt pressure (but not intergroup bias) related to indexes of psychosocial adjustment in specific and theoretically meaningful ways. The case for a multidimensional approach to gender identity is strengthened.     

儿童性别角色发展有关理论述评

性别角色发展是儿童自我意识和社会化发展的主要表现之一。本文简要叙述国外关于性别角色发展的主要理论 ,重点介绍社会认知理论对性别角色发展的解释 ,并对此作出简要评价。     

Assigning Grammatical Gender During Word Production

The present study was designed to examine the processes by which grammatical gender is assigned during word production. French words varied in strength of sublexical cues, based on whether the word ending was typical for one gender rather than neutral about gender, and lexical cues, derived from the associated definite article being uninformative about gender for words beginning with a vowel, but informative for words beginning with a consonant. In Experiment 1, when native French speakers classified the gender of mentally evoked names of pictures, no effects of these cues were obtained. Experiment 2 used an improved methodology, with participants classifying the gender of words translated from English. English-speaking learners of French were influenced strongly by lexical and sublexical cues, while French speakers showed a weaker influence. However, for both speaker groups, words whose gender was classified slowly during recognition were also classified slowly during production, and error rates were similarly correlated across tasks. The conclusion was that gender is not equally available for all words once the associated “lemma” is accessed. Current models of language production may have to incorporate mechanisms allowing differential speed of access to gender information depending on a word’s formal properties.     

Sex vs. Gender

SUMMARY

This article was first published in D. R. Laub and P. Gandy, (eds), Proceedings of the Second Interdisciplinary Symposium on Gender Dysphoria Syndrome, Stanford University Medical Center, Stanford, California, 1973, pp. 20–24. Prince argues that previous contributors to the symposium in using such terms as “gender conversion surgery” and “anatomic and genetic gender” were failing to grasp the distinction between sex and gender. Genital anatomy is about sex; gender role is about a lifestyle. Out of 100 people applying for a surgery perhaps only 10 percent should have it. The majority confuse sex and gender and fail to appreciate that what they are seeking is a gender change and not a sexual change. Prince likes the word “dysphoria” but argues for distinguishing sexual dysphoria from gender dysphoria. They are different and people should be treated according to which one they happen to be suffering from.     

Knowledge,Authority and Identity: A Prolegomenon to an Epistemology of the Clinic

Disputes about theory in bioethics almost invariablyrevolve around different understandings of morality or practicalreasoning; I here suggest that the field would do well to becomemore explicitly contentious about knowledge, and start the taskof putting together a clinical epistemology. By way of providingsome motivation for such a discussion, I consider two cases ofresistance to shifts in clinical practice that are, by and large,not ethically controversial, highlighting how differentconceptions of epistemic authority may contribute to clinicians'unwillingness to adopt these changes, and sketching out someinitial suggestions for epistemic analysis of clinical practice.     

Power and Gender Influences on Responsibility Attributions: The Case of Disagreements in Relationships

Abstract

In a sample of 156 college students (74 men and 82 women), the authors examined the influences of power status and gender on responsibility attributions and resolution choices during disagreements in personal relationships. The participants read vignettes in which relationship partners disagreed; then the participants placed themselves in the situations depicted and reported their perceived responsibility and resolution choices. The participants were randomly assigned to 1 of 2 power-status conditions (you have/your partner has greater power in the situation). Power status was based on resource power (i.e., a monetary inheritance) or on perceived power (i.e., financial knowledge). The authors tested 2 alternative power-status hypotheses (justified benefits/rights and ability/accountability) and 1 gender hypothesis. The results supported both power-status hypotheses. In addition, the men's and the women's responsibility attributions and resolution choices (i.e., adhering to their own wishes or deferring to their partner's wishes) revealed differential dependence on the type of power held by the person with greater situational power. The authors suggest issues further research concerning how situational differences in socially based expectations (e.g., power status and gender) may affect conflicts within relationships.     

Gender, Power, and Relationship Ethics In Family Therapy Education

Awareness and sensitivity about gender issues have central positions in family therapy education. Traditionally gender relationships have been treated as either a reflection of cultural values and norms or as a dynamic of the way that men and women deal with the other sex. This paper presents the findings of a qualitative study that examines the meaning and enactment of gender issues in the supervisory process in family therapy. Based on that study, the authors developed a strategy for raising issues of gender equity in clinical training and describe the effects of that strategy on one practicum.Professor of Family and Child Sciences and the director of the Interdivisional Program in Marriage and Family Therapy at Florida State UniversityAn associate professor of Family and Child Sciences and the co-director of the Family Policy and Research Unit in the Family Institute at Florida State University     

Gender Differences in Depression

From early adolescence through adulthood, women are twice as likely as men to experience depression. Many different explanations for this gender difference in depression have been offered, but none seems to fully explain it. Recent research has focused on gender differences in stress responses, and in exposure to certain stressors. I review this research and describe how gender differences in stress experiences and stress reactivity may interact to create women's greater vulnerability to depression.     

The Selfish Gender,or the Reproduction of Gender Asymmetry in Gender Studies

Gender discrimination can be overt anddeliberate. It can be covert and indeliberate.In the latter case it is called `asymmetry'.The gender studies community aims to reveal andeliminate any forms of gender asymmetry.However, insufficient methodological andtheoretical reflection implies the reproductionof gender asymmetry throughout genderstudies.     

Gender Attitudes Mediate Gender Differences in Attitudes Toward Adoption in Guatemala

Gender differences in gender role attitudes, including machismo, and attitudes toward adoption were studied in Guatemala, a country that provides a large number of children for international adoption. Guatemalan university students (N = 152) completed the machismo subscale of the Multiphasic Assessment of Cultural Constructs–short form (Cuéllar, Arnold, & González, 1995), the attitudes toward women scale for adolescents (Galambos, Peterson, Richards, & Gitelson, 1985), and an adoption beliefs scale developed for the present study. Men endorsed more machismo, more traditional gender role attitudes, and held less favorable attitudes toward adoption than women did. Gender differences in adoption attitudes were mediated by machismo and gender role attitudes. These results suggest that machismo and traditional gender role attitudes may serve as barriers in the promotion of intra-country adoption.     

Sports Participation and Self-Esteem: Variations as a Function of Gender and Gender Role Orientation

The purpose of this study was to examine the role of gender, sports participation, and gender orientation in predicting individuals' domain-specific and global self-esteem. A sample of 100 Grade 11 students completed measures of self-perception, body image, gender orientation, and sports participation. The results showed that although boys reported greater satisfaction with weight and appearance, there were no gender differences in general self-worth. In addition, more feminine individuals who participated in competitive sports reported lower levels of perceived athletic competence and global self-worth, but reported higher self-esteem when they participated in more noncompetitive sports. Although sports participation does predict self-esteem, participants' gender orientation and the type of sports in which they participate are moderating factors.     

Individual Differences in Experiences of and Responses to Guilt and Shame: Examining the Lenses of Gender and Gender Role

How are experiences of and reactions to guilt and shame a function of gendered views of the self? Individual differences in guilt and shame responses were explored in a sample of 104 young adults, most of whom were European American. Results indicated that, although women reported greater proneness to guilt and shame, men reported more trait guilt. Heightened levels of guilt- and shame-proneness were observed among both men and women with traditionally feminine gender roles, whereas a more traditionally masculine self-concept was associated with decreased shame-proneness for women. Gender schematic women favored verbal responses to ameliorate the experience of guilt, whereas gender schematic men preferred action-oriented responses. These results are discussed as gendered outcomes of schematic versus aschematic gender role socialization.     

Sublexical and Lexical Influences on Gender Assignment in French

Two experiments showed that French native speakers rely on sublexical and lexical cues to allocate gender during word recognition. Sublexical cues were based on whether the word ending was typical for a particular gender rather than neutral with regard to gender. Lexical cues were based on whether the associated definite article was informative (for words beginning with a consonant) or uninformative (for words beginning with a vowel). Classification of single nouns and verification of grammatical combinations of indefinite article and noun led to longer times when both sublexical and lexical cues were uninformative compared with when one or both cues were informative. Verification of ungrammatical combinations of indefinite article and noun yielded separate effects of both cues, though only when monitoring for both semantic and syntactic unacceptability in meaningful phrases did people attend to both cues independently. It was argued that people became more cautious in their gender assignments as task requirements became deeper. If strategic changes as a function of task demands are incorporated, the results are compatible with connectionist models proposing that gender decisions are computed from strength of past associations of the word and gender-specifying elements.     

Gender Segregation in Childhood: A Test of the Interaction Style Theory

The authors investigated the play/interaction-style theory of gender segregation with a sample of 39 children aged 2 to 5 years (primarily Caucasian). According to this theory, children prefer playmates with styles of play or interaction that are similar to their own. Because such styles are sex differentiated, same-sex playmate preference (i.e., gender segregation) results. The authors observed children during free play to determine preferred playmates and gender segregation level, and they used teacher ratings to derive play/interaction-style scores. The authors used a multiple regression approach to path analysis to analyze effects of sex of participant, participants' play/interaction-style scores, playmates' play/interaction-style scores, and degree of gender segregation to determine their effects on one another. The authors observed significant levels of gender segregation, with highly aggressive or active children displaying less segregation than their peers did. However, gender segregation was not associated with a preference for playmates with similar play or interaction styles.     

心律失常发生的别差异

临盘床中某些心律失常的发生具有性别差异。女性同男性相比,其平均静息心率快,QT间期长,QRS波群时间短,QRS电压低。女性有更高的病态窦房结综合征、不适当性窦性心动过速、房室结折返性心动过速、右室特发性室速和长QT间期综合征引起的心律失常事件的发生率。而男性房室传导阻滞、颈动脉窦综合征、房颤、旁路导致的室上性心动过速、预激综合征、室颤、猝死、Brugada综合征和触发型室速的发生率高。这些差异有的与心律失常伴发的器质性心脏病男女发生率不同有关,另外性激素对离子通道的功能、表达的影响以及自主神经张力的差异在这些差异的产生中也具有重要作用。了解这些差异对女性心律失常处理具有重要的指导作用。