Despite the growing routinization of prenatal diagnosis, little research has examined men's roles in this reproductive arena or these technologies' possibilities for reinforcing or transforming gender roles and relations. The authors analyze male partners' participation in the amniocentesis decisions of Mexican-origin women at high risk for problems, drawing on interviews with 157 women and 120 of their male partners. The primary aim is to explore whether the normalization of prenatal testing poses a threat to women's autonomy in this decision arena. (...) The findings challenge critics of new reproductive and genetic technologies who assume that these technologies inherently represent male attempts to control women's bodies and the processes of reproduction. In contrast, the authors find many couples try to balance their desire to share equally in parenting responsibilities while maintaining the woman's ultimate control over her body and decisions associated with it. (shrink)

A major shift has taken place since the 1960s concerning disclosure to patients that they have a diagnosis of cancer and that their disease is considered terminal. Full disclosure is now considered the patient's right in the United States. However, there remain many countries in which nondisclosure is still the norm. When patients from those countries are diagnosed with cancer in America, differences in attitudes and expectations can cause conflict and misunderstanding.

The Coalition of Immokalee Workers (CIW) has successfully combated modern-day slavery by transforming the ways that over a dozen major brands, including Taco Bell, Subway, and Wal-Mart, manage their supply chains. The CIW’s efforts over more than 20 years have effectively stopped enslavement practices, including abuses such as wage theft and peonage indebtedness. We conducted a field ethnography, interviews, and archival analyses to understand this success. We find that the CIW employs a decentered, egalitarian, and ensemble approach to their multiplicities (...) of alliances by collectively “animating” themselves and their partners through ensemble leadership. This combination of alliances, along with worker-driven monitoring, brings life to the CIW motto “We are all leaders.” Translating this motto into daily practice is how the CIW virtually eradicates enslavement practices in corporate supply chains. (shrink)

Mabel Cooper and Gloria Ferris lived in St Lawrence's Hospital one of the large learning disability institutions which were built round the edges of London. In this paper, Mabel and Gloria share their memories of three nurses at St Lawrence's, supported by Jane Abraham and in this process reveal a number of ethical issues that remain relevant today.

_Migration and the Education of Young People 0_–_19_ investigates migration from a number of perspectives to consider the changing dynamics of society within different countries. Examining the data associated with global migration by focusing on case studies from a wide range of countries, it provides detailed and balanced coverage of this politically sensitive topic to explore the educational needs of migrant young people, the impact of large-scale migration to and from countries and the policy challenges that individual countries face when (...) ensuring adequate provision for migrant young people within their education systems. Chapters cover: The reasons why people might move Social and emotional learning in Britain: a tool to guard against cultural pollution? Migration into a global city: the economic and educational success of London Latvian people on the move and the impact on education People’s movement – Greece Return migration in Lithuania: incoming challenges for children’s education The United States, Latin America, immigration and education Tanzanian street children: victims, ordinary lives or extraordinary survivors? This book explores the changing social dynamics through an extensive range of case studies and will be an essential resource for students taking undergraduate and postgraduate courses in education, sociology and international relations. (shrink)

Por un lado, el libro aborda la problemática educativa que enfrentan estudiantes mexicanos indocumentados en las universidades de los Estados Unidos. Por el otro lado, se aborda la atención específica (escolar, académica y administrativa) que la Universidad de Guadalajara (México), ofrece a los estudiantes migrantes retornados de los Estados Unidos.

AbstractDuring the Covid-19 pandemic, ethicists and researchers proposed human challenge studies as a way to speed development of a vaccine that could prevent disease and end the global public health crisis. The risks to healthy volunteers of being deliberately infected with a deadly and novel pathogen were not low, but the benefits could have been immense. This essay is a history of the three major efforts to set up a challenge model and run challenge studies in 2020 and 2021. The (...) pharmaceutical company Johnson and Johnson, the National Institutes of Health in the United States, and a private-public partnership of industry, university, and government partners in Britain all undertook preparations. The United Kingdom’s consortium began their Human Challenge Programme in March of 2021.Beyond documenting each effort, the essay puts these scientific and ethical debates in dialogue with the social, epidemiological, and institutional conditions of the pandemic as well as the commercial, intellectual, and political systems in which medical research and Covid-19 challenge studies operated. It shows how different institutions understood risk, benefit, and social value depending on their specific contexts. Ultimately the example of Covid-19 challenge studies highlights the constructedness of such assessments and reveals the utility of deconstructing them retrospectively so as to better understand the interplay of medical research and research ethics with larger social systems and historical contexts. (shrink)

Presentación del Dossier: Feminismos y posthumanismo.

The final published book by Nobel Prize-winning author and philosopher Henri Bergson (1859-1941), La pensée et le mouvant (translated here as The Creative Mind), is a masterly autobiography of his philosophical method. Through essays and lectures written between 1903 and 1923, Bergson retraces how and why he became a philosopher, and crafts a fascinating critique of philosophy itself. Until it leaves its false paths, he demonstrates, philosophy will remain only a wordy dialectic that surmounts false problems. With masterful skill and (...) intensity, Bergson shows that metaphysics and science must be rooted in experience for philosophy to become a genuine search for truth. And in the quest for unanswered questions, the spiritual dimension of human life and the importance of intuition must be emphasized. A source of inspiration for physicists as well as philosophers, Bergson's introduction to metaphysics reveals a philosophy that is always on the move, blending man's spiritual drive with his mastery of the material world. (shrink)

Volume 20, Issue 6, June 2020, Page 75-77.

Decisions about continuing or terminating a pregnancy touch on profound, individualized questions about bodily integrity, reproductive autonomy, deeply held values regarding one's capacity for parenthood, and, in the case of a high-risk pregnancy, the risks one is willing to take to have a baby. So far as possible, reproductive decisions are made between a patient, in some cases her partner, and her medical provider. However, this standard framework cannot be applied if the patient lacks decision-making capacity. In this essay, we (...) discuss one such case that came before our clinical ethics team. We describe the challenges of respecting a patient's reproductive preferences when the patient cannot share what those preferences are, and we argue that decisions regarding reproductive health care should not be treated with exceptionalism. Rather, they should proceed under the normal processes of surrogate decision-making, including the application of substituted judgment. This approach enables us to take the patient's values into account when considering the questions implicated in reproductive health care, just as we do for other kinds of health care decisions in which a patient's deeply held values are salient. (shrink)

Volume 20, Issue 3, March 2020, Page 39-41.

The present better understanding of the Logistai Inscription, both mathematical and calendrical, justifies the presentation of a new continuous text and some comment upon it. The inscription is well cut with a stoichedon pattern of 75 or 74 letters per line. The change from 75 to 74 letters occurs somewhere between line 69 and line 75; in the upper half of the stone there were normally six letters to the right of the preserved post-Classical edge, and in the lower half (...) there were never more than five. (shrink)

A new look at Thucydides’ account of the debate at Sparta motivating the Spartan declaration of war may provide a footnote to valuable past discussion. Chief concerns about the debate have always been the uniqueness of the four-speech set-up; the oddity of an Athenian embassy in attendance at a Peloponnesian League meeting; and the unlikelihood that any detailed report of speeches made to the Peloponnesian League or Spartan assembly came to Athens. Thucydides' judgement concerning the cause of the Peloponnesian War (...) is far more likely to have been based on his knowledge of past and present relations between Athens and Sparta and members of the Peloponnesian League than on any information about an actual debate. But for τ δoντα he needed a confrontation which would not only dramatize both opposition I and characters of Sparta and Athens but also put them in historical context, that is, in their Persian War roles as recorded by Herodotus. Only in this way is it possible to explain peculiarities of this confrontation which appear to duplicate characteristics of the Herodotean debate involving Athens and Sparta before the battle of Plataea. Thuc. 1.67–88 is like Hdt. 8.140–4 in comprising four speeches of which the first 1 is answered by the third and the second is answered by the fourth. In each case Cl and C2 are spoken by representatives of a single people: with the Athenians in Herodotus’ debate answering two different peoples, and with two different Spartans in Thucydides answering two different peoples. (shrink)

With the increasing professionalization of clinical ethics, some hospitals and health systems utilize both ethics committees and professional clinical ethicists to address their ethics needs. Drawing upon historical critiques of ethics committees and their own experiences, the authors argue that, in ethics programs with one or more professional clinical ethicists, ethics committees should be dissolved when they fail to meet minimum standards of effectiveness. The authors outline several criteria for assessing effectiveness, describe the benefits of a model that places primary (...) responsibility for ethics work with professional clinical ethicists—the PCE-primary model, and offer suggestions for alternative ethics program structures that empower healthcare professionals to contribute to ethics work in ways more tailored to their strengths and skills while minimizing the shortcomings of ethics committees. (shrink)

The authors present a case study involving truth telling responsibilities in the setting of nonepileptic seizures. Specifically, over the course of several suspected nonepileptic seizures, a patient’s seizures stopped after he received a saline flush meant to precede the administration of anti-seizure medication. The patient and his surrogate believed he had received the medication each time, and the team wondered whether they should disclose the truth. Some worried that disclosure would reinforce the suspected psychogenic behavior, exacerbating the patient’s condition. In (...) this way, the case study presents a twist on the traditional truth telling archetype. While most truth telling cases center on navigating cultural differences or worries about emotional harm, this case presented concerns about medical harm in the form of exacerbating the patient’s condition. The authors describe the complex patient-family-team dynamic that preceded this ethical dilemma, describe the case, analyze the ethical issue, and describe the outcome. (shrink)

Cet article traite d’un mythe cosmogonique où un dragon mapuche, le Kai Kai Filu, appartenant à la Patagonie argentine et chilienne, est signalé comme le responsable du déluge, de la montée des eaux et de la formation des golfes, îles et autres accidents géographiques. Un suivi du mythe montre qu’avec les frontières dressées entre ces deux pays, les populations originaires se sont fragmentées ainsi que leurs récits millénaires. Le résultat est que l’Argentine présente un mythe segmenté, plus proche des mythes (...) occidentaux et le sud du Chili nous raconte une version plus ancienne, faisant basculer le sens de la figure du dragon et sa forme dans un glissement symbolique significatif. Ce mythe vit de manière permanente et apparaît dans de nombreuses narrations locales, narrations qui vont témoigner de la vitalité du mythe : il change et se renouvelle selon les mouvements de la terre et les tsunamis qui se succèdent dans cette région du Sud. Les versions s’enrichissent quand les changements des structures économiques bouleversent la vie des habitants et que de nouveaux éléments apparaissent dans les contes populaires, revigorisant le mythe originel. (shrink)

El pueblo mapuche, pueblo originario del Sur de América --Chile--, posee un sistema de comunicación propio articulado a una visión mítico-simbólica y sacralizada del mundo, condición que implica una diversidad de códigos y lenguajes que operan integradamente para la comunicación entre las diferentes dimensiones y entidades que componen este cosmos. La irrupción de occidente ha incidido en la transformación de la práctica tradicional de este pueblo debido al proceso de dominación hegemónica que ha buscado desarticularlo, ante el cual el pueblo (...) mapuche, desde la segunda mitad del siglo XX, implementa diversas estrategias tendientes a recuperar su territorio y autonomía cultural. Este trabajo sostiene que una de las principales estrategias contrahegemónicas es la creación de un macrosistema de comunicación intercultural que responde a un proceso metacognitivo complejo sustentado en distintas fases y niveles de elaboración epistémica. Con el propósito de dar cuenta de este proceso este trabajo se centra en el estudio de uno de sus subsistemas: el artístico, desde el cual se describen y reflexionan los territorios y fronteras simbólicas que se generan respecto del sistema de comunicación occidental. The Mapuche people in southern Chile, South America, have a system of communication organized upon a sacred mythical symbolic view of the world, a condition that implies a diversity of codes and languages working altogether to communicate in the different dimensions and entities that integrate this cosmos. Irruption of the western world and its hegemonic dominance have influenced and transformed these people’s culture, trying to break it apart. Since the second half of the 20th century, Mapuche people have developed varied strategies to recover their land and cultural autonomy. The present paper holds that one of the main strategies against this hegemony is the creation of a macro system of intercultural communication, which derives from a complex metacognitive process supported by different phases and epistemic elaboration levels. This paper focuses on one of those systems: the artistic one, from which we describe the land areas and symbolic borders produced in relation to the western communication system. (shrink)

This article aims to read feminist new materialisms (Barad), together with ‘postulated’ linguistic or cultural primacy of Queer Theory (Butler), to show how both are engaged in similar critical-ethical endeavours. The central argument is that the criticism of Barad and new materialisms misses Butler’s materialistic insights due to a narrow interpretation of Butler's alleged social-constructivist position. There is, therefore, a specific focus on where they both make similar ethical appeals. Moreover, the article relies on Adorno's negative dialectic to highlight an (...) interpretation of Barad and Butler as being part of the same dialectical movement, in which materialism and idealism fluctuate in their mutual criticisms, thus continuing the procession towards 'new knowledge' and emancipation, or freedom, through their motions back and forth. (shrink)