Bioethicists Can and Should Contribute to Addressing Racism

The problems of racism and racially motivated violence in predominantly African American communities in the United States are complex, multifactorial, and historically rooted. While these problems are also deeply morally troubling, bioethicists have not contributed substantially to addressing them. Concern for justice has been one of the core commitments of bioethics. For this and other reasons, bioethicists should contribute to addressing these problems. We consider how bioethicists can offer meaningful contributions to the public discourse, research, teaching, training, policy development, and academic scholarship in response to the alarming and persistent patterns of racism and implicit biases associated with it. To make any useful contribution, bioethicists will require preparation and should expect to play a significant role through collaborative action with others.     

Constructing Gender Incommensurability in Competitive Sport: Sex/Gender Testing and the New Regulations on Female Hyperandrogenism

The segregation of the sexes in sport still seems to be regarded as a matter of course. In contrast to other performance classes, e.g., age and weight, which are constructed on the grounds of directly relevant performance features, in the case of gender it is dealt with the merely statistical factor that women on average perform less well than men. And yet unlike weight or age classes, which can be interchanged if the required performances are provided, the segregation between the sexes in many types of sport seems to be quite impermeable. Contrary to popular beliefs women were not excluded from the beginning of modern sport. Hence, the meaning of gender differences varies in the course of time and in types of sport. Thus, this paper firstly gives a short summary of the different relevance of gender differences in high performance competitions of various types of sport. Then the historical construction of gender as central dimension in modern sport will be illustrated by using the example of soccer. Here in this paper, the elaborate processes of reproducing this incommensurability between women and men in sport is the main focus: At first big sport organisations tried to exclude women whose performances were well above the expectations by establishing so called “Gender verifications” which suspected them of fraud. Although it became certain that there is no clear differentiation between the sexes, gender segregation was not abolished. Instead new regulations have been invented to treat and “normalise” people who are difficult to categorise, e.g., transsexuals and women with Hyperandrogenism, in order to subsume them into the existent gender categories. So finally, gender segregation in sport seems to be just another example for Goffman’s institutional reflexivity: While the separation of the competitions are said to be a natural consequence of the differences between men and women, it actually is just a tool to create those differences.     

“We're not gonna be friends anymore”: Associations between viewing relational aggression on television and relational aggression in text messaging during adolescence

A number of studies suggest that adolescents who view relational aggression on television are more likely to engage in higher levels of subsequent relational aggression in social interactions. This study examined longitudinal associations between viewing relational aggression on television and relationally aggressive behavior in text messaging over a 1-year period during adolescence. Participants were 197 adolescents who completed a number of questionnaires regarding media use and aggression. Adolescents were each given a BlackBerry device and a sample of text messages was coded for aggressive behavior. Results revealed that exposure to relational aggression on television was associated with higher levels of relational aggression in texting one year later, but only for girls. Results are discussed with reference to the General Aggression Model.     

Intersectionality in Clinical Medicine: The Need for a Conceptual Framework

Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient–clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.     

Protected or Unprotected Sex: The Conceptions and Attitudes of the Youth in Bolgatanga Municipality,Ghana

The youth in Bolgatanga municipality in Ghana have relatively less knowledge of sexual and reproductive health (SRH) compared to the youth in other parts of Ghana. More fundamental knowledge is needed of the factors that influence young people to have protected and unprotected sex in specific social and cultural contexts, in order to protect them from adverse consequences, such as sexually transmitted diseases (STIs), HIV/AIDS and unintended pregnancies. This study therefore analyzed the conceptions and attitudes of the youth toward protected and unprotected sex, and particularly condom use, in Bolgatanga municipality. Semi-structured and focus group interviews were held with 71 young males and females and 17 adults. The results indicated that many of them lack a comprehensive knowledge of STIs, contraceptives and pregnancy, while a group of them had a negative attitude towards contraceptives. Not all parents, schools and organisations provide young people with a comprehensive education about SRH, and some even discourage such education because they believe it would encourage young people to have sex before marriage. In addition, young people also inform each other about SRH issues, sharing stories and personal experiences with their peers. The information they exchange is not always correct, however; sometimes it merely reflects their own personal preferences. The unequal power in the sexual relationships of young people—related to the traditional value system that gives men, but not women, “sexual freedom, both in and outside marriage”—is another determining factor for unprotected sex.     

Preparing the Field for Feasibility Testing of a Parenting Intervention for War‐Affected Mothers in Northern Uganda

In this article, we discuss the successful implementation of an adapted evidence‐based parenting intervention for families affected by two decades of war in Northern Uganda. The adaptation and adoption of such interventions to support mental health and family functioning is widely endorsed by prevention scientists and considered a priority in global mental health. The preparation and early adoption phases of engaging with a highly vulnerable community affected by war trauma are documented in this paper along with a discussion of the steps taken to adapt a parenting intervention for cultural and contextual fit. This study is a component of an overall program of research aimed at reducing the long‐term negative effects of war on parenting practices and childhood outcomes, which have considerable implications for preventing mental, neurological, and substance‐use disorders. The processes described here cover a 4‐year period culminating in the implementation of the nine‐session Enhancing Family Connection intervention piloted with a group of 14 mothers. The lessons in cultural adaptation have been valuable and the feasibility results promising for further testing the intervention.     

Young adults self-derive and retain new factual knowledge through memory integration

The present research investigated the retention of new factual knowledge derived through integration of information acquired across temporally distributed learning episodes. Young adults were exposed to novel facts as they read long lists of seemingly unrelated information, one sentence at a time. They then were presented open-ended questions, the answers to which could be self-derived through integration of pairs of facts from the list. Experiment 1 was the first test of self-derivation of new factual knowledge through integration in adults using open-ended testing (as opposed to forced-choice testing). Participants successfully self-derived integrated knowledge under these more challenging conditions. Experiment 2 was a test for long-term retention of newly self-derived information. Newly derived knowledge remained accessible after a 1-week delay. Striking individual differences were also observed, which were related to whether individuals spontaneously identified the relational structure of the learning task. Insight into the relation between explicit task knowledge and strategic processing was also revealed through examination of response speed at the time of test. Specifically, knowledge of the task structure was associated with response latencies on unsuccessful (but not successful) trials, such that participants who were aware of the opportunity to integrate spent longer when they were subsequently unsuccessful, presumably reflecting directed search strategies and heightened perseverance when those processes failed. Together, the present findings provide direct evidence for the role of memory integration in the long-term accumulation of a semantic knowledge base and have theoretical implications for our understanding of this fundamental form of learning.     

Perceptual Experience and Cognitive Penetrability

This paper starts by distinguishing three views about the phenomenal character of perceptual experience. ‘Low‐level theorists’ argue that perceptual experience is reducible to the experience of low‐level properties (textures, shapes, colors), ‘high‐level theorists’ argue that we have perceptual experiences of high‐level properties (functional properties, causal relations, etc.), while ‘disunified view theorists’ argue that perceptual seemings can present high‐level properties. The paper explores how cognitive states can penetrate perceptual experience and provides an interpretation of cognitive penetration that offers some support for the high‐level view.