MEDICAL MANAGEMENT OF INFANT INTERSEX: THE JURIDICO‐ETHICAL DILEMMA OF CONTEMPORARY ISLAMIC LEGAL RESPONSE

Technological advances in the field of medicine and health sciences not only manipulate the normal human body and sex but also provide for surgical and hormonal management of hermaphroditism (intersexuality). Consequently, sex assignment surgery has not only become a standard care for babies born with genital abnormalities in the West but even in some Muslim states. On the positive side, it goes a long way in saving children born with abnormal genitalia from numerous legal interdictions of the pre‐sex corrective surgery. Nevertheless, the larger ethical and legal questions that medical management of genital abnormality raises to some extent have not been adequately appreciated by contemporary Muslim responses. This article, therefore, in principle argues against surgical management of intersexuality during early infancy from the Islamic legal perspective.     

Ritual Male Infant Circumcision and Human Rights

Opponents of male circumcision have increasingly used human rights positions to articulate their viewpoint. We characterize the meaning of the term “human rights.” We discuss these human rights arguments with special attention to the claims of rights to an open future and to bodily integrity. We offer a three-part test under which a parental decision might be considered an unacceptable violation of a child's right. The test considers the impact of the practice on society, the impact of the practice on the individual, and the likelihood of adverse impact. Infant circumcision is permissible under this test. We conclude that infant circumcision may be proscribed as violating local norms, even though it does not violate human rights.     

Comprehension of direct and indirect sarcastic remarks in children and adolescents with Tourette’s syndrome

Previous research has reported that aspects of social cognition such as nonliteral language comprehension are impaired in adults with Tourette’s syndrome (TS), but little is known about social cognition in children and adolescents with TS. The present study aims to evaluate a measure of sarcasm comprehension suitable for use with children and adolescents (Experiment 1), and to examine sarcasm comprehension in children and adolescents with TS-alone or TS and attention deficit hyperactivity disorder (ADHD; Experiment 2). In Experiment 1, the measure of sarcasm comprehension was found to be sensitive to differences in nonliteral language comprehension for typically-developing children aged 10 to 11 years old compared to children aged 8 to 9 years old; the older group performed significantly better on the comprehension of scenarios ending with either direct or indirect sarcastic remarks, whereas the two age groups did not differ on the comprehension of scenarios ending with sincere remarks. In Experiment 2, both the TS-alone and TS+ADHD groups performed below the level of the control participants on the comprehension of indirect sarcasm items but not on the comprehension of direct sarcasm items and sincere items. Those with TS+ADHD also performed below the level of the control participants on measures of interference control and fluency. The findings are discussed with reference to the possible contribution of executive functioning and mentalizing to the patterns of performance.     

The Experience of Being a Qualified Female BME Clinical Psychologist in a National Health Service: An Interpretative Phenomenological and Repertory Grid Analysis

This study explores the lived experience of black and minority ethnic (BME) clinical psychologists employed in the U.K. National Health Service (NHS). A mixed method qualitative approach was employed using repertory grids and interpretative phenomenological analysis. Six female BME clinical psychologists took part. Four master themes emerged from the analysis, including standing out as different, negotiating cultural and professional values, sitting with uncertainty, and feeling proud to be a clinical psychologist. The repertory grid analysis supported these findings and enriched the study. Implications of the study are discussed—namely, the importance of the profession increasing the cultural competency and sensitivity of its members as well as becoming more diverse.     

Report of the AMA Council on Ethical and Judicial Affairs: professionalism in the use of social media

Although many physicians have been using the internet for both clinical and social purposes for years, recently concerns have been raised regarding blurred boundaries of the profession as a whole. In both the news media and medical literature, physicians have noted there are unanswered questions in these areas, and that professional self-regulation is needed. This report discusses the ethical implications of physicians' nonclinical use of the internet, including the use of social networking sites, blogs, and other means to post content online. It does not address the clinical use of the internet, such as telemedicine, e-prescribing, online clinical consultations, health-related websites, use of electronic media for clinical collaboration, and e-mailing patients (some of which are already covered in the AMA's Code of Medical Ethics).     

Do we perceive a flattened world on the monitor screen?

The current model of three-dimensional perception hypothesizes that the brain integrates the depth cues in a statistically optimal fashion through a weighted linear combination with weights proportional to the reliabilities obtained for each cue in isolation (Landy, Maloney, Johnston, & Young, 1995). Even though many investigations support such theoretical framework, some recent empirical findings are at odds with this view (e.g., Domini, Caudek, & Tassinari, 2006). Failures of linear cue integration have been attributed to cue-conflict and to unmodelled cues to flatness present in computer-generated displays. We describe two cue-combination experiments designed to test the integration of stereo and motion cues, in the presence of consistent or conflicting blur and accommodation information (i.e., when flatness cues are either absent, with physical stimuli, or present, with computer-generated displays). In both conditions, we replicated the results of Domini et al. (2006): The amount of perceived depth increased as more cues were available, also producing an over-estimation of depth in some conditions. These results can be explained by the Intrinsic Constraint model, but not by linear cue combination.