Medical Ethics Research Between Theory and Practice

The main object of criticism of present-day medical ethics is the standard view of the relationship between theory and practice. Medical ethics is more than the application of moral theories and principles, and health care is more than the domain of application of moral theories. Moral theories and principles are necessarily abstract, and therefore fail to take account of the sometimes idiosyncratic reality of clinical work and the actual experiences of practitioners. Suggestions to remedy the illnesses of contemporary medical ethics focus on re-establishing the connection between the internal and external morality of medicine. This article discusses the question how to develop a theoretical perspective on medical ethical issues that connects philosophical reflection with the everyday realities of medical practice. Four steps in a comprehensive approach of medical ethics research are distinguished: (1) examine health care contexts in order to obtain a better understanding of the internal morality of these practices; this requires empirical research; (2) analyze and interpret the external morality governing health care practices; sociological study of prevalent values, norms, and attitudes concerning medical-ethical issues is required; (3) creation of new theoretical perspectives on health care practices; Jensen's theory of healthcare practices will be useful here; (4) develop a new conception of bioethics that illuminates and clarifies the complex interaction between the internal and external morality of health care practices. Hermeneutical ethics can be helpful for integrating the experiences disclosed in the empirical ethical studies, as well as utilizing the insights gained from describing the value-contexts of health care practices. For a critical and normative perspective, hermeneutical ethics has to examine and explain the moral experiences uncovered, in order to understand what they tell us.     

Women in Science, Technology, Engineering, and Mathematics (STEM): An Investigation of Their Implicit Gender Stereotypes and Stereotypes’ Connectedness to Math Performance

In spite of many barriers facing women??s enrollment in Science, Technology, Engineering, and Mathematics (STEM), some women are successful in these counter-stereotypic disciplines. The present research extended work primarily conducted in the United States by investigating implicit gender-STEM stereotypes??and their relation to performance??among female and male engineering and humanities students in Southern France. In study 1 (N?=?55), we tested whether implicit gender-math stereotypes??as measured by the Implicit Association Test (IAT; Greenwald et al. 1998)??would be weaker among female engineering students as compared to female humanities, male engineering and male humanities students. In study 2 (N?=?201), we tested whether this same results pattern would be observed with implicit gender-reasoning stereotypes (using a newly created IAT) and, in addition, whether implicit gender-reasoning stereotypes would be more strongly (and negatively) related to math grades for female humanities students as compared to the three other groups. Results showed that female engineering students held weaker implicit gender-math and gender-reasoning stereotypes than female humanities, male engineering and male humanities students. Moreover, implicit stereotyping was more negatively related to math grades for female humanities students than for the three other groups. Together, findings demonstrate that female engineering students hold weaker implicit gender-STEM stereotypes than other groups of students and, in addition, that these stereotypes are not necessarily negatively associated with math performance for all women. Discussion emphasizes how the present research helps refine previous findings and their importance for women??s experience in STEM.     

Toward the use of approach/avoidance tendencies as attitude measures: Individual- and group-level variability of the ingroup bias

Approach/avoidance paradigms could constitute an interesting alternative in measuring intergroup attitudes, notably if they overcome one criticism often addressed toward classic indirect tasks: Measuring attitudes beyond the influence of cultural knowledge. Using intergroup stimuli and a population likely to be exposed to a similar cultural knowledge, we observed two informative results regarding this issue: Approach/avoidance effects measured by the Visual Approach/Avoidance by the Self Task (VAAST) varied across participants (i.e., consistent with the variability of intergroup attitudes; Experiment 1) and both participants of dominant and non-dominant groups produced an ingroup bias (Experiment 2). A last experiment (Experiment 3) showed that compatibility scores in the VAAST predict trustworthiness ratings of the ingroup/outgroup. This experiment also investigated potential differences between the VAAST and the IAT. These results suggest that approach/avoidance tasks (notably the VAAST) could be relevant to assess personal attitudes when it comes to normatively sensitive topics.     

Mental Health Inequalities During COVID-19 Outbreak: The Role of Financial Insecurity and Attentional Control

The COVID-19 pandemic and subsequent lockdowns negatively impacted the mental health of populations. This impact is not equally distributed and increases existing mental health inequalities. Indeed, government restrictions and the economic consequences of the pandemic affect more the less educated and less wealthy people. However, psychological processes implicated in this increase of mental health inequalities during the COVID-19 pandemic remain unexplored. The present study (N=591) tested the role of financial insecurity and attentional control in the relation between socioeconomic status and mental health, along with the influence of trait anxiety. Based on Structural Equation Modelling, findings showed a mediation effect of financial insecurity, but not of attentional control, in the relationship between socioeconomic status and mental health. In addition, exploratory analyses suggested that financial insecurity also mediated the effect of attentional control on mental health. Results of the present research point at the importance of understanding psychological processes implicated in the effect of economic crises on mental health inequalities.