What Can Feminist Epistemology Do for Surgery?

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.     

Informative cues can slow search: The cost of matching a specific template

During visual search, observers hold in mind a search template, which they match against the stimulus. To characterize the content of this template, we trained observers to discriminate a set of artificial objects at an individual level and at a category level. The observers then searched for the objects on backgrounds that camouflaged the features that defined either the object’s identity or the object’s category. Each search stimulus was preceded by the target’s individual name, its category name, or an uninformative cue. The observers’ task was to locate the target, which was always present and always the only figure in the stimulus. The results showed that name cues slowed search when the features associated with the name were camouflaged. Apparently, the observers required a match between their mental representation of the target and the stimulus, even though this was unnecessary for the task. Moreover, this match involved all distinctive features of the target, not just the features necessary for a definitive identification. We conclude that visual search for a specific target involves a verification process that is performed automatically on all of the target’s distinctive features.     

DEVELOPMENT OF ANDROGYNY

While many researchers have documented the existence of pressures toward traditional sex-typing in the family, schools, and media, little consideration has been given to the effectiveness of these sources in fostering more flexible orientations to sex-typing. The present paper focuses on the extent to which parents are able to influence their children toward the development of nonstereotyped behaviors, conceptualized here in terms of androgyny. This issue is examined through an-exploration of several theories of sex-role development and empirical research on sex-role development. Additional consideration of theories and research on life-span development and resistance among children in the current culture to nonstereotyped behavior lead to a distinction between short-term and long-term effects of nonsexist parental behavior. Although androgynous parents may not produce androgynous children, their children often do grow up to be androgynous adults.     

Associations between violence,criminality, and cognitive control deficits among young men living in low resource communities in South Africa

Despite empirical support for “Self-control theory” in criminology, there is controversy about how self-control should be operationalized. Working within the framework of “self-control theory,” we investigated if violence and criminal behaviors are associated with nine distinct dimensions of cognitive control in a community sample of young men (n = 654) living in peri-urban townships in South Africa. Cognitive control was assessed using the Behavior Rating Inventory of Executive Function. Multivariate statistical analysis was used, to identify associations between violence and criminality, and deaggregated measures of nine distinct components of cognitive control. Fifteen percent of the sample reported recent violence, 27% had been in physical fights with family/friends in the preceding 6 months, 10% reported being arrested, 4% reported forced sexual contact, and 26% reported intimate partner violence (IPV). Controlling for substance use and sociodemographic variables, contact with the criminal justice system and violence were associated with deficits in all domains of cognitive control. Forced sexual contact was associated with behavioral dysregulation. IPV was associated with behavior dysregulation and executive control dysfunction. Future studies might utilize deaggregated measures of self-control to provide further insight into links between particular components of cognitive control and various forms of offending and violence.     

Brief Counseling for Alcohol Misuse Among Trauma Patients: Two Interventions and Influence of Baseline Use

This study examined whether baseline trauma patient characteristics and randomized participation in 1 of 2 brief interventions predicted changes in alcohol use at 6 months postintervention. Higher total Alcohol Use Disorders Identification Test (AUDIT) scores predicted greater changes, and specific AUDIT items were significant predictors.     

Three-year Trajectories of Emotional Expressiveness among Maltreating Mothers: The Role of Life Changes

Parents are perhaps the most direct and profound influences on children’s development of emotional competence. For example, how and what emotions parents express in the family has implications for children’s ability to understand and regulate their emotions. What is less well understood is what potential environmental or contextual factors impact parents’ emotional expressiveness, particularly in high-risk samples prone to atypical emotional expressiveness (e.g., deficits in the production and recognition of emotional expressions). The present longitudinal study examined the association between life changes and parents’ expression of positive and negative emotions, as well as, how these associations changed over time in a sample of maltreating mothers. Eighty-eight mothers with a substantiated history of physical abuse completed measures of emotional expressiveness and life changes experienced over the past 6 months when their children were in preschool, kindergarten, and first grade. Results indicated that life changes decreased over time, while parental emotional expressiveness remained stable. Moreover, life changes were associated across time with the expression of negative emotions, but were unrelated to expressions of positive emotions. Findings have important implications for understanding emotional expressiveness in high-risk samples.