‘Why do we need all this?’ A call against genetic engineering and reproductive technology

The central argument of this article is that the discussion on the new reproduction technology should not start with these technologies as such and their possible benefits and abuses but with the basic question whether we need this technology at all, whether the fundamental problems of women in capitalist-patriarchal societies can be solved by technology. According to the author, genetic engineering and reproductive technology are not only not capable of solving any of these questions, they are destructive to a human relation to our bodies, nature, other peoples. Exploitative and oppressive relations cannot be overcome by more sophisticated technology-even if it were in the hands of women—but only by a revolutionizing of these relations.     

A Pretty Fine Line: Life, Death, Autonomy and Letting it B

The cases of Diane Pretty and Ms B. raise crucial issues about decision-making and autonomy at the end of life. Ms B. was permitted her wish to die rather than live permanently dependent upon a ventilator because her case was constructed as one about withholding consent to medical treatment, which every adult with capacity has a right to do. Mrs Pretty, however, sought active intervention to end her life. Requiring assistance to die, and claiming that this was her human right, she sought an assurance that her husband would not be prosecuted if he helped her. Her claim was rejected and the assurance refused. The cases prompt questions about the nature of autonomy, the influence of others and the different way sin which medical and legal decisions are made. This revised version was published online in July 2006 with corrections to the Cover Date.     

Women and depression

Neurotic depression is twice as common among women. This is a puzzle to medical and social science. In this article, genetic and hormonal explanations are considered as well as the problem of distinguishing body from mind. Environmental causes are considered from the viewpoint of epidemiology, psychoanalysis and sociology. Neurotic depression is viewed as the outcome of an excess of stresses over supports and related to a woman's marital status, class and occupation.In the doctor-patient relationship, the doctor has a privileged role in interpreting what is said, an interpretation which appears as scientific to some and as individual to others. For, in order for it to be meaningful in a personal exchange, language constantly refers back to symbols which have been historically and culturally generated and, in doing so, incorporates particular historical and cultural values. By subjecting doctors and their patients to invoking a particular ideology, language binds us and blinds us in an allusive search for reality.     

工作贫困脱贫路径探析——基于北京市职工队伍调查数据的实证分析

在开展脱贫攻坚工作的过程中,工作贫困问题得到越来越多的关注,推动和实现工作贫困群体的更高质量就业问题亟待解决.本研究利用2017年北京市职工队伍调查数据,分析了工作贫困者就业质量影响因素.结果 显示:劳动报酬因素对工作贫困者就业质量的总体作用相对薄弱;工作时间因素对工作贫困者就业质量的解释力度较弱;职业发展因素和职业尊...     

A critique of the research literature concerning pregnant adolescents, 1960–1970

A perspective on the research literature from 1960 to 1970 concerning pregnant adolescents (this literature was abstracted and reviewed in a previous publication) is presented. Research methodology and potential content for research are examined and suggestions made that would contribute to a stronger empirical base for the research. Several assumptions (of difference, of homogeneity, and of special need) regarding pregnant adolescents that seem to be implicit in the research are brought to light. Finally, an analysis of the risk concept is presented.Has degrees in social work (M.S. and Ph.D.) and public health (M.S.), with research interests in adolescent health status, human service for youth, and the process of (research) consultation.Has M.A. in sociology.Has degrees in theology (B.D.) and medical sociology (Ph.D.). He teaches the latter, while focusing his research interests on the mental health consequences on women as a result of their labor force participation and the evaluation of accelerated medical education programs.M.D. degree and a degree also in public health. Before his academic career, he was a high public official in the New York State Department of Health. His publications include studies of the medical aspects of water fluoridation and high-risk groups receiving maternity care. Current research interests include studies of patterns of provision of maternal and child health services in the United States, the incidence and prevalence of long-term diseases of childhood, and followup studies of low birth weight and other vulnerable infants.     

State science,risk and agricultural biotechnology: Bt cotton to Bt Brinjal in India

Agricultural biotechnology has been a project of India's developmental state since 1986, but implementation generated significant conflict. Sequential cases of two crops carrying the same transgene – Bt cotton and Bt brinjal (eggplant/aubergine) – facing the same authorization procedures produced different outcomes. The state science that approved Bt cotton was attacked as biased and dangerously inadequate by opponents, but the technology spread to virtually universal adoption by farmers. Bt aubergine was approved by the same Genetic Engineering Approval Committee (GEAC), but the decision was overruled, the GEAC downgraded and a moratorium imposed on the crop. Resultant conflicts engaged international networks, expanded the domestic arena in which science is contested and instigated restructuring of institutions for governance of genetic engineering. Divergent trajectories of the two crops corresponded to global patterns, but also reflected differences in agro-ecologies and state interests. In Bt cotton, state and cultivator interests dominated precautionary logics; in Bt eggplant, politics of risk dominated questions of agro-economics. The cases illustrate both the inherent vulnerability of science in politics and specific vulnerabilities of science embedded in particular institutions. Differences in institutional specificity of state science matter politically in explaining variation across countries in adoption and rejection of genetically engineered crops.     

工会参与提高了农民工城镇职工基本医疗保险的参保率吗？

城镇职工基本医疗保险参保与工会参与是农民工实现与城镇本地职工同等权利的重要内容,关系到农民工市民化进程的推进。基于2017年CMDS数据,研究探讨了工会参与对农民工城镇职工基本医疗保险参保率的影响。研究发现：农民工参与工会活动会显著提高其城镇职工基本医疗保险的参保率,在经过倾向得分匹配等稳健性检验后结论依旧成立;工会参与对参加城镇职工基本医疗保险的促进作用在农民工的代际之间均有显著作用,但对老一代农民工的影响更大。研究建议,为更好地加强农民工劳动权益保护,应当重视工会建设,以推动城镇职工基本医疗保险对农民工更广的覆盖。     

Gender,Thrift and Indigenous Adaptations: money and missionary medicine in colonial India

This article examines the skills in money and the management of resources that were developed by women missionaries in India between the 1870s and the 1940s. Focusing on the strategies and initiatives of three physicians—Clara Swain, Anna Kugler and Edith Brown—it argues that women disrupted existing patriarchal arrangements by entering ‘male’ domains of finance and administration. Modest ventures were transformed into state institutions through alliances with stakeholders, including missionary boards and donors at ‘home’ as well as members of indigenous elites who provided valuable land donations. Western institutional models needed to be adapted to function within local economies. Western missionary women used an interesting blend of thrift, innovation and indigenization to stretch their material and human resources. Thus, women physicians used their medical work with overseas missions to carve out new roles, which empowered them socially and professionally.     

From Sancitity to Screening: Genetic Disabilities, Risk and Rhetorical Strategies in Wrongful Birth and Wrongful Conception Cases

This analysis scrutinises the rhetorical strategies used by judges in wrongful life and wrongful birth actions as evidence for the assertion that the judicial reading of public policy in such cases has undergone a significant shift which is likely to accelerate as genetic knowledge grows and health care resources shrink. The implications of the predicted move towards increased genetic testing of prospective parents are traversed in relation to feminist analyses of the impact of genetics on reproductive technology. These are viewed as forming a nexus with the current social constructions of disability and the contemporary cultural preoccupation with risk, in a context of the increasing commercial importance of genetic information. It is argued that women cannot make free and informed choices about genetic testing and pregnancy unless legal and social mechanisms which protect those choices are in place. This revised version was published online in August 2006 with corrections to the Cover Date.     

The relationship of sex role to physical and psychological health

This study examined the relationship of sex-role typology, medical and psychiatric symptomatology, and personality functioning in adolescents. Seventy-nine males and 101 females with an average age of 18.3 were administered the Bem Sex Role Inventory (BSRI), Offer Self Image Questionnaire (OSIQ), Self Rating Depression Scale (SRDS), and Cornell Medical Index (CMI). In comparison to males, females reported significantly more medical and psychiatric symptomatology, including depression. Females were also found to have more concern and empathy for others and a better developed superego. They reported greater involvement in making future plans and were more conservative in their sexual attitudes. Sex-role typology yielded no significant differences on the medical and psychiatric scales, but consistent differences were found on the OSIQ, a measure of adolescent personality functioning. In general, the results indicated that androgynous teenagers in every case differed from the undifferentiated ones, with the masculine and feminine groups occupying a mid-position. Androgynous individuals always showed a more favorable adjustment. Undifferentiated individuals had a poorer defensive structure, less adequate coping mechanisms and affective integration, more confusion about body boundaries, and more difficulty in object relations. Androgynous individuals, in short, possessed adaptive capabilities and resources, such as effective coping techniques, emotional integration, communication skills, and a well-defined self-concept (i.e., ego strength and a high level of psychological integration). Since these results were obtained on a measure constructed solely to assess adolescent functioning, it seems possible to screen and identify adolescents who may be entering adulthood lacking the emotional, social, and occupational capacity to function in an optimal fashion.Received Ph.D. from University of Rhode Island. Current interests are adjustive dimensions of sex role in adolescents, adolescent psychopathology and psychotherapy.Currently pursuing a doctorate in human development at the University of Maryland. Holds an M.A. in clinical psychology from George Mason University. Interests include sex-role development, determination of psychological test parameters of anorexia nervosa.Completing an M.A. in clinical psychology at George Mason University. Besides sex-role and social dimensions, interests center on adolescent psychotherapy.     

Medical careers and health care for Indian women: patterns of control

Abstract

In the 1880s reform-minded men and women in Great Britain had joined the missionaries and a number of Indian reformers in demanding that Western medical care be extended to Indian women. The subjects of their concern were high-status Indian women who observed the norms of seclusion. British women, at this time entering the medical profession, supported this initiative because it legitimized their professional goals and promised employment. This paper explores the introduction of medical care for Indian women with reference to the life of Dr Haimavati Sen (c. 1867-1932), ‘lady doctor’ in charge of an exclusively women's hospital in Hughli district of Bengal. The paper explores two issues: the ways in which imperialism, feminism, and racism worked to marginalize Indian women in professional medical roles and the impact of this process upon women as patients and clients.     

Resilience and Vulnerability in Adolescents: Genetic Influences on Differential Response to Risk for Delinquency

Prior research has identified a vast number of correlates for delinquent behavior during adolescence, yet a considerable number of errors in prediction remain. These errors suggest that behavioral development among a portion of youths is not well understood, with some exhibiting resilience and others a heightened vulnerability to risks. Examining cases that do not confirm prediction outcomes provides an opportunity to achieve a greater understanding of the relationships between risk factors and delinquency, which can be used to improve theoretical explanations of behavior. This study explores the contribution of genetic and environmental factors to differences in individual responses to cumulative risk for delinquency among a sample of adolescent twins (N = 784 pairs, 49 % female) in the National Longitudinal Study of Adolescent Health. The results indicate that additive genetic and unique environmental factors significantly contribute to variation in responses to cumulative risk across 14 risk factors spanning individual, familial, and environmental domains. When analyzed separately, the majority of the difference between vulnerable youths and the overall population was attributed to genetic influences, while differences between resilient youths and the population were primarily attributed to environmental influences. The findings illustrate the importance of examining both genetic and environmental influences in order to enhance explanations of adolescent offending.     

Responsible and responsive knowing in medical diagnosis: the medical gaze revisited

The medical gaze has long been privileged over the voice of the patient as the source of medical knowledge, in western societies. The ontology (that is, the very existence) of symptoms invisible to scientific observation will thus tend to be questioned by medical professionals. Yet any gaze, even the medical one, is refracted through the lenses both of social‐cultural stereotypes and of gender, and its seeings are shaped by these refractions. In this article, two family physicians and an epistemologist examine certain “unexplained” disorders, in a conversation informed by a feminist perspective: they bring a feminist point of view to bear on these issues. Medically unexplained disorders, which occur most frequently in women, are disabling conditions for which objectively observable symptoms and/or scientific causal explanations are not available. The approach taken in this article makes some of the assumptions underlying clinical knowledge more clearly visible: the authors' conversation situates diagnostic activity in medicine as a gendered, power‐infused social interaction within a cultural context where the gold standard of medical knowledge is very narrowly set. The participants propose responsible and responsive knowing as alternative strategies for knowing well. As they are presented here, these strategies incorporate an awareness of the inherent uncertainty of medical knowledge, raise questions about those to whom the knower is accountable, acknowledge the patient's experiences, and attend to the potentially oppressive effects of expert knowing.     

transness as debility: rethinking intersections between trans and disabled embodiments

Some authors in disability studies have identified limits of both the medical and social models of disability. They have developed an alternative model, which I call the ‘composite model of disability’, to theorise societies’ ableist norms and structures along with the subjective/phenomenological experience of disability. This model maintains that ableist oppression is not the only source of suffering for disabled people: impairment can be as well. From a feminist, queer, trans activist, anti-ableist perspective and using an intersectional, autoethnographic methodology, I apply this composite model of disability to trans identities to consider the potentially ‘debilitating’ aspects of transness. I argue that transness, like disability, has too often been perceived from two perspectives, medical or social, without the benefit of a third option. From a medical perspective, transness is reduced to an individual pathology curable with hormonal/surgical treatments, a conceptualisation that erases structural oppression. From a social point of view, transness is conceptualised as a neutral condition and variation in sex/gender identity. In this model, structural oppression (transphobia/cisgenderism) is seen as the only cause of ‘trans suffering’. I argue that, just as the medical and social models of disability provide limited opportunities for reflection on the complex experience of disability, medical and social understandings of transness, respectively, are insufficient to describe the complexity of trans experience. I explore the possibilities presented by the application of a composite model of disability in trans studies. By both problematising cisgenderist oppression and acknowledging trans people’s subjective experiences of suffering through some of the debilitating aspects of transness, this composite model avoids the pitfalls of the medical and social models. The application of tools from disability studies to trans issues uncovers cisnormativity in disability movements and denounces ableism in trans movements. This will, I hope, solidify alliances between these communities and fields of study.     

from the uterus to the brain: images of hysteria in nineteenth-century Mexico

Scientific interest in hysteria began in Mexico at the end of the 19th-century, as the medical profession expanded. The Mexican doctors studied madness, drawing on what was confidently regarded as a firm basis of epistemological knowledge. Using modern physiology they entered a discussion that had begun some time before in Europe. Encountering hysteria, an illness presumed to be caused by ‘over-civilization’, they searched for a universal definition. The doctors tried to impose a unifying concept onto the diverse symptoms of hysteria, and, although imitating European ideas, the discourse became distinctive in its attempts to relate hysteria to science and modernity so that all three would make sense. My interest in this article is the feminine; not a reconstruction of the relationship that medicine established between hysteria and the feminine, but a search for a space within the discourse that deconstructs identity and stereotypes. The feminine appears when the coherence of medical discourse is ruptured and when, to explain the illness, the doctors stop attempting to define it. This eventually occurs when the medical discourse considers the subject as unidentifiable and deceptive.     

‘Merely Birds of Passage’: Lady Hariot Dufferin’s travel writings and medical work in India, 1884–1888

This article examines the travel writings and medical work in India of Lady Hariot Dufferin, Vicereine of India between 1884 and 1888. Lady Dufferin accompanied her husband, the Viceroy Lord Dufferin, through various social and political engagements in India, and carved her own niche in colonial and post‐colonial history as a pioneer in the medical training of women in India. The article examines her travel writings on India and explores the nature of her complicity in the Raj, as well as the gendered nature of the separate public role she created for herself in relation to her ‘zenana work’ in providing medical care for the women of India. The author suggests that, through her work, Lady Dufferin challenges and extends the theoretical paradigms of post‐colonialist and feminist critiques of empire.     

关于职工医疗保险制度改革的调查与思考

调查表明,职工拥护医疗保险制度改革,但对具体方案意见较大,主要是职工自负比例过大等几项原因.解决改革中出现的问题,最大限度地化解职工疾病风险,保障职工的医疗和保健水平,是医疗保险制度不断完善的目标.     

Research in progress: A report on policies of access to aid as a medical treatment in the U.K.

This paper is the first research report of a comprehensive study of AID as a medical treatment in the U.K. It examines the policies that determine who is able to receive AID when it is administered by doctors in medical clinics. Findings from the survey upon which this report is based indicate that AID treatment is administered under highly discriminatory policies. Women's access to treatment is restricted according to marital status, sexual preference, disability and costs. By operating under restrictive policies, doctor's discretion and medical jurisdiction extends beyond the immediate concerns of the health of patients and into the realm of social control.     

Mexican women's pelves and obstetrical procedures: interventions with forceps in late 19th-century medicine

This essay is an inquiry into the socio-cultural history of the use of forceps in 19th-century Mexico. It argues that the knowledge and practices that the use of such instruments implied were related to complex and controversial issues of the time regarding gender, race and national identity. In my study of operations involving forceps, I found that the adoption of medical instruments depended not only upon their supposedly greater operative efficiency but also upon the political and medical meanings attributed to the pelves of Mexican women. Early 19th-century obstetrics conceived the womb as an example of ‘living nature’ whose qualities assured that births were ‘normally happy events’ making the use of forceps and other instruments unnecessary. However, by mid-century, in the aftermath of independence, Mexico was desperately attempting to forge its identity as a nation. Due to European theories of race, Mexican women came to be characterized as having pathologically deformed pelves that evidenced possible defects of racial formation. The analysis of operative practices involving forceps reveals just how strongly such medical instruments became charged with a complex political definition of the ‘mestizo race’, which was seen to hold political promise for the future. In this context, forceps ceased to symbolize the threat of death, with which they had been associated since colonial times, and became artefacts that helped to assure the safe delivery of newborn mestizos by overcoming the problems of Mexican women's pathological pelves; although by the same token, the status of women as biologically inferior beings in need of medical assistance was reconfirmed.     

Self-image of adolescents with cystic fibrosis

Cystic fibrosis (CF) is a lethal genetic disease, yet improved care has extended the mean age of survival into the young adult years. Many of the surviving adolescents have respiratory and digestive problems which delay growth and sexual development. It has been suggested that the specter of fatal disease interferes with adjustment to adolescence. We administered the Offer Self-Image Questionnaire to three groups with mean height less than the fifth percentile: CF males aged 12–19 (n=16); CF females aged 12–19 (n=8); and otherwise healthy males with short stature and/or delayed puberty aged 13–19 (n=34). The values obtained were compared to published normative data for a large number of normal adolescents and a smaller number of adolescents actively undergoing treatment for emotional disorders. CF males showed an abnormal pattern of adjustment that could be considered comparable to disturbed males and to growth-delayed and sexually delayed males. The CF female group was concordant with the normal population, rather than with the emotionally disturbed population. Thus CF and pubertally delayed males have a self-perception of maladjustment to the psychologic problems of adolescence. This suggests that adjustment problems of the CF male may be related to growth retardation and pubertal delay, the social stigma of which may be more easily disguised in the female. This is important in health care, since recent evidence suggests that exemplary attention to medical compliance and nutrition may ameliorate some of the growth lag both in pubertal delay and CF.Postdoctoral medical research fellow in allergy, immunology, and respiratory disease at Children's Hospital at Stanford. Received his M.D. from the University of Southern California and pediatric training at Stanford University Hospital. Main research interests are clinical nutrition and behavioral intervention in adolescents with chronic disease.Received his M.D. from Stanford University and pediatric training at Stanford University Hospital. Main research interests are growth disorders and adolescent development.Studied psychology at Dartmouth College and Oxford University before coming to Stanford University, where he is currently completing his Ph.D. in social psychology. Main research interests are the social determinants of motivation.Chief of the Allergy and Pulmonary Disease Service at Children's Hospital at Stanford and Assistant Professor of Pediatrics at Stanford University. Received his M.D. from University of Iowa; pediatric training at Yale-New Haven Hospital and Stanford University Hospital; and allergy, immunology, and respiratory postdoctoral training at Stanford University Hospital. Main research interest is cystic fibrosis.