Theorizing Gerontology: The Case of Old Age, Professional Power, and Social Policy in the United Kingdom

This article examines the interrelationship between old age, professional power, and social policy. In particular, dominant theoretical models in social gerontology are reviewed and an alternative framework for understanding social gerontological issues—Foucauldian gerontology—is advanced. Foucauldian narratives are employed to delineate the historical relationship between professional social work and recent social policy for older people in the United Kingdom. In addition, a Foucauldian framework employed to examine identity formation, professional practices, and policy narratives enriches and widens the disciplinary subject matter of theorizing aging studies. The structure of this article is in three parts: review of theories of aging with an introduction of Foucault's potential contribution to gerontological analysis, the historical overview of the instigation of professional intervention in modernity and the changing roles and responsibilities in relation to older people utilizing Foucault's (1977) genealogical method, and the exploration and application of Foucault's key notion of governmentality (1977; Rose & Miller, 1992) in the analysis of social policy for older people.     

The Church and the World: Are There Theological Resources for a Common Conversation?

Abortion is an especially salient issue for considering thegeneral problematic of religiously based conversation in thepublic square. It remains deeply divisive, fully thirty-fouryears after Roe v. Wade. Such divisiveness cannot be interpretedas merely an expression of profound differences between "secular"and "religious" voices, because differences also emerge amongChristian denominations, reflecting different sources of moralauthority, different accounts of moral discernment, and differentjudgments about the appropriate relations between law and moralityin the context of pluralism. As this paper explores, however,despite those differences, a generally identifiable "Christian"position concerning the moral status of abortion can be distinguishedfrom secular philosophical judgments on the issue, which isimportant for Christian engagement with public policy debate.     

Are Newborns Morally Different from Older Children?

Policies and position statements regarding decision-making for extremely premature babies exist in many countries and are often directive, focusing on parental choice and expected outcomes. These recommendations often state survival and handicap as reasons for optional intervention. The fact that such outcome statistics would not justify such approaches in other populations suggests that some other powerful factors are at work. The value of neonatal intensive care has been scrutinized far more than intensive care for older patients and suggests that neonatal care is held to a higher standard of justification. The relative value placed on the life of newborns, in particular the preterm, is less than expected by any objective medical data or any prevailing moral frameworks about the value of individual lives. Why do we feel less obligated to treat the premature baby? Do we put newborns in a special and lesser moral category? We explore this question from a legal and ethical perspective and offer several hypotheses pertaining to personhood, reproductive choices, “precious children,” and probable evolutionary and anthropological factors.     

患者异常心理致阴茎尿道异物伤诊治体会

分析各种类型阴茎尿道异物伤的治疗原则及治疗方法,并结合病例就非正常酊慰相关心理因素问题进行探讨。回顾性分析11例不同类型阴茎尿道异物伤患者临床资料,其中阴茎异物嵌顿伤7例,尿道异物伤3例,阴茎内异物植入1例。11例均成功取出异物,随访无明显异常。不同类型阴茎尿道异物伤通过选择适当的治疗方法,大多可获得满意的结果。此类阴茎尿道异物伤属非正常自慰行为,患者大多伴有心理障碍,术后需要进行必要的心理疏导。     

Special Treatment? Flexibilities in the Politics of Regenerative Medicine’s Gatekeeping Regimes in the UK

ABSTRACT

Emerging flexibilities are apparent in gatekeeping regimes applicable to regenerative medicine products, raising issues about the extent to which and forms in which such flexibilities might promote emerging products as a sector warranting special treatment, in the context of recent policy developments in the UK and wider European Union. Concepts of ‘gatekeeping’, ‘gatekeeping regimes’ and ‘gateways’ can point to the ways in which regulatory institutions, health technology assessment organisations, and national planners and purchasers of health services together define and control entry to the medical product marketplace and the adoption of products into the public health-care system. Flexibilities in existing regimes and new gateways are a way of maintaining ‘connection’ between gatekeeping regimes and technoscientific innovation in order to steer innovation pathways. The gateways concept has affinity with that of Callon’s ‘obligatory passage points’. A wide set of recent policy documents show that the measures promoted exhibit a range of alternative gateways that are being constructed around central, legal, restrictive gatekeeping regimes. However, it would be easy to overestimate the significance of these developments as relaxations that would favour innovative producers and their products on a large scale with wide public health impacts. The concepts of gatekeeping regimes and gateways enable understanding of hybrid developments of exceptions and exemptions to dominant regimes which bridge across the arenas of market regulation, health technology assessment and health-care system planning. These arenas are being drawn closer together as a means of politically managing stakeholders’ aims in the UK, EU and other innovating biomedical health systems globally.