This paper argues that the concept of paternalism is currently overextended to include a variety of actions that, while resembling paternalistic actions, are importantly different. I use the example of Japanese physicians’ non-disclosures of cancer diagnoses directly to patients, arguing that the concept of maternalism better captures these actions. To act paternalistically is to substitute one's own judgement for that of another person and decide in place of that person for his/her best interest. By contrast, to act maternalistically is (...) to decide for another person based on a reasonable understanding of that person's own preferences. The concept of maternalism allows for a more thorough assessment of the moral justification of these types of actions. I conclude that it is possible, at least in principle, to justify Japanese physicians’ non-disclosures, and that this justification must be based on an understanding of these actions as maternalistic. (shrink)

In this article we review Western discourse on the relationship between Daoism and anarchist political theory. In particular, we focus on the anarchist reading of Daoism given by Roger Ames, and the more recent contrasting argument against reading Daoism as an anarchism by Alex Feldt. Centering our discussion on the Daodejing 道德經, we argue that, on the one hand, Laozi’s 老子 political theory is less easily reconcilable with anarchist thinking than Ames suggests. On the other hand, we dispute Feldt’s argument (...) that Laozi’s sage-ruler must, of necessity, maintain the capacity for coercive control. Counter to both Ames and Feldt, we suggest that Laozi’s sage-ruler is better framed as a maternal overseer, in contrast to other more paternalistic extrapolations of Daoist thinking, such as that offered in the Hanfeizi 韓非子. In reading Laozi’s thinking as a form of state “maternalism,” we aim to give a more distinctive voice to the nuances of early Daoist political theory. (shrink)

At the end of World War II, Congress terminated the only national day care policy ever enacted to that point in the United States. It was nearly 20 years later, with the 1962 Public Welfare Amendments, that the American state launched the next national experiment in day care. This policy was constructed not in response to the needs of working women but rather to address rising concerns over the Aid to Dependent Children program. In this article, the author examines archival (...) data from the U.S. Women's Bureau, the U.S. Children's Bureau, and other agencies to explain the transformation of day care from an employment policy to an adjunct of ADC. She argues that maternalists within the state were able to redefine the content of maternalist ideology to occupy the discursive space produced by the emergent political crisis in the ADC program. This new maternalism provided the grounds for a new national commitment to day care provision but also created the institutional structures of its marginalization. (shrink)

Under what conditions do motherhood penalties emerge in countries undergoing transition from state socialism to capitalism? This analysis identifies the ways managers in global financial firms employ gendered assumptions in constructing and implementing labor practices among highly skilled professional workers in Hungary. Relying on 33 in-depth interviews with employers as well as interviews with headhunting firms, labor and employment lawyers, and analysis of antidiscrimination cases brought before Hungary’s Equal Treatment Authority between 2004 and 2008, we identify several strategies global employers (...) use to shed, demote, and marginalize professional mothers. By demonstrating the salience of motherhood as a status characteristic in the postsocialist labor market, our work contributes to existing scholarship on motherhood penalties. Our work also extends this scholarship by showing how the salience of motherhood is strongly conditioned by state-level arrangements that shape the opportunity context in which employers design and carry out employment practices. (shrink)

Unlike other states, California retained a large proportion of the child care centers that had been established during World War II. In 1946, the California state government allocated state funds for child care in response to a vigorous child care campaign. The campaign, which was, in large part, a working mothers movement, was a “transformed maternalist” movement. It used maternalist rhetoric to defend state-subsidized child care that was criticized by more traditional maternalists. Using resource mobilization theory, I explain the relatively (...) high degree of political mobilization on the child care issue in California in terms of the greater availability of co-optable social resources, which California's relatively large wartime child care program provided, and the existence of movement entrepreneurs willing to mobilize these latent resources. Child care advocates were successful because they operated within a relatively favorable political opportunity structure since they did not have to contend with a strained state treasury or a mobilized countermovement and were able to garner the support of a wide variety of women's and social organizations and an influential social reformer. (shrink)

The concept of paternalism is intricately tied to the concept of autonomy. It is commonly assumed that when paternalistic interventions are wrong, they are wrong because they impede individuals’ autonomy. Our aim in this paper is to show that the recent shift towards conceiving of autonomy relationally highlights a separate conceptual space for a nonpaternalistic kind of interpersonal intervention termed maternalism. We argue that maternalism makes a twofold contribution to the debate over the ethics of interpersonal action and (...) decision-making. Descriptively, it captures common experiences that, while not unusual in everyday life, are largely absent from the present discussion. Normatively, it describes a type of intervention with justification conditions distinct from the standard framework of paternalism. We explicate these contributions by describing six key differences between maternalism and paternalism, and conclude by anticipating and responding to potential objections. (shrink)

During his years as a member of the Frankfurt School, Erich Fromm developed a strong interest in the idea that there were distinctive male and female character orientations. Drawing on the positive evaluation of matriarchy made in the nineteenth century by the Swiss anthropologist J. J. Bachofen, Fromm argued that a “matricentric” psychic structure was more conducive to socialism than the patricentric structure which had predominated in capitalism. His interest in maternalism and his opposition to patriarchy played an important (...) part in his rejection of Freud's theory of drives and in the development of a humanistic ethics in which love plays a central part. The idea of a gendered humanism is central to Fromm's social thought, although there is a danger that the over‐emphasis of sex‐based character differences unintentionally re‐opens the danger of the kind of sexual stereotyping which he resolutely opposed. (shrink)

After her curriculum proposal is presented, Noddings' feminine ethics is submitted to a critique through an interpretation of her three books. Her distortion of Gilligan and Chodorow is explained. Indebtedness to male sources is noted. The over-emphasis upon good and upon first-person experience is criticised and traced to feminist rage, which is interpreted as the result of the oppression of women. Noddings' suppressed 'Kantianism' is explicated to maintain the dialectic between so-called male and female voices. Main strengths of her curriculum (...) proposal are interpreted more broadly than her perspective allows to indicate a promising return to normative, macro-theory of education. (shrink)

In 1997 the women-run nonprofit organization Dress for Success opened its first location with the aim of empowering low-income women by providing gently used suits for job interviews. Drawing on eight months of fieldwork in an affiliate office, we analyze cross-race and cross-class interactions between privileged volunteers and low-income clients to demonstrate the emergence of what we term “neoliberal maternalism.” Historical forms of maternalism—the mother-centric voluntarism aimed at assisting indigent families a century ago—emphasized women’s domesticity and promoted the (...) earliest welfare provisions. We suggest that neoliberal maternalism, instead, works alongside welfare retrenchment by insisting that single mothers become self-sufficient workers. Similar to earlier maternalisms, the benevolence of affluent volunteers serves to reinforce class and race superiority while producing moments of genuine care and connection. We argue that while all forms of maternalism come with a related body politics aimed at disciplining the bodies of othered women, neoliberal maternalism carries a distinct body politics that, rather than regulating the home and reproduction, intrusively enforces ideals of aesthetic labor required for the postindustrial service economy. Finally, we suggest that retaining maternalism as an analytic framework is particularly important for investigating the influence of neoliberalism and the eroding social safety net on interactions between women. (shrink)

During goals of care conversations, palliative care clinicians help patients and families determine priorities of care and align medical care with those priorities. The style and methods of communicating with families and negotiating a care plan can range from paternalistic to entirely patient driven. In this paper, we describe a case in which the palliative care clinician approached decision-making using a paradigm that is intuitive to many clinicians and which seems conceptually sound, but which has not been fully explored in (...) the bioethics literature. This paradigm, termed maternalism, allows the clinician to direct decision-making within a relationship such that best interests and autonomy are mutually reinforced, thus reflecting relational autonomy as opposed to individual autonomy. We explore whether this method is appropriate in this case and explain how it captures significant ethical features of the case that might be missed by other approaches. (shrink)

This paper is an attempt to historicize Frank Plumpton Ramsey’s Apostle talks delivered from 1923 to 1925 within the social and political context of the time. In his talks, Ramsey discusses socialism, psychoanalysis, and feminism. Ramsey’s views on these three intellectual movements were interconnected, and they all contributed to his take on the policy debates occurring then on the role of women in economy. Drawing on archival materials, biographical facts, and the historiographical literature on the early interwar politics of motherhood, (...) I show that Ramsey held a positive view of the feminist campaign for family endowment. He demanded government financial support for motherhood in recognition of the economic significance of women’s domestic works, which, as such, could bring economic independence to them. In addition, he found such an economic scheme compatible with the kind of maternalism endorsed by Freudian psychoanalysis—his favorite theory of psychology. (shrink)

This essay assesses the value of social constructivist theories of science to the history of medicine. It highlights particularly the ways in which feminist theorists have turned their attention to gender as a category of analysis in scientific thinking, producing an approach to modern science that asks how it became identified with "male" objectivity, reason, and mind, set in opposition to "female" subjectivity, feeling, and nature.In the history of medicine this new work has allowed a group of scholars to better (...) explain not only how women were marginalized in the profession but also the manner in which politics, male anxiety about shifts in power relations between the sexes, social and political upheaval, professional concerns, and changes in the family all had an impact on the production of knowledge regarding the female body, including the "discovery," definition, and treatment of a wide range of female ailments, from anorexia nervosa to fibroid tumors.Building on the work in the history of medicine already accomplished, the essay offers a critical rereading of the writings of Elizabeth Blackwell, a pioneer nineteenth-century woman physician and leader of the woman's medical movement. It contends that Blackwell, who lived through a revolutionary change in medical thinking brought on by discoveries in immunology and bacteriology, remained critical of "objectivity" as the "best" form of knowing and suspicious of the laboratory medicine that promoted it so enthusiastically. Moreover, her critiques of radical objectivity and scientific reductionism deserve to be recognized as foreshadowing the maternalist strain of thinking among contemporary feminist philosophers and thinkers such as Sara Ruddick and others. (shrink)

On the 13th June 2014, the Centre for the Humanities and Health (CHH) at King’s College London hosted a one-day workshop on ‘Parentalism and Trust.’ This workshop was the sixth in a series of workshops whose aim is to provide a new model for high-quality open interdisciplinary engagement between medical professionals and philosophers. The term ‘Parentalism’ rather than paternalism is chosen and used throughout because of some of the derisory and unfortunate gender connotations associated with paternalism (and/or its counterpart ‘ (...) class='Hi'>maternalism’). Medical Parentalism is the position that unwanted interference with a patient’s choices and actions in order to protect and promote her best interests is morally justified. Whilst there are many problems with its justification and implementation, the workshop addressed how such interference depends on a trusting relationship between the doctor and patient, and the extent to which parentalist interferences might undermine this trust. (shrink)

In contrast to the well-developed analysis of British feminism's implication in the late 19th-and early 20th-century reconstruction of the British national and imperial project, research into comparable areas of Dutch history are only just emerging. Taking as its starting point several conclusions drawn from postcolonial writing in the eld of British imperialism, this article investigates an important moment in the history of Dutch feminism, the Nationale Tentoonstelling van Vrouwenarbeid, to examine Dutch feminism's complicity in the Dutch imperial project. Simultaneously, it (...) examines the appropriation by colonial reformists of a `maternalist politics' to redene that project. In so doing, the article aims to focus attention on the interaction between metropolitan and colonial discourse and the place of maternalist politics in each. Further, the article briey reects on the signicance for Indonesian women of the operation of such discourses in the colonial context. (shrink)

In the present research paper an attempt has been made to unravel the mysterious connection feminine life and mother Earth. The tantra pattern of “eco-feminist consciousness” is the earliest and the most archaic in the Indian tradition. It is intrinsically tied up with land related activities. Land culture, material culture and body culture are 3 important dimensions of tantric life. The tantra model of Earth-Woman identity based on the fertility motif represents a materialist and maternalist world view. Epistemologically, pre-vedic people (...) sought the significance of knowledge, not in the realization of any illusory absolute but in the day today activities of life, like agriculture. Connected to this they had further fundamental insight that microcosm and macrocosm are identical – the truth revealed bymodern science today. Elements of tantric world view gradually found a place in Brahmanical world view. The later world view is not sympathetic to the cult of mother Goddess possibly because it leads to social supremacy of female. Tantric eco-feminism suggests a positive, radical change in our attitudes towards the feminine and nature. (shrink)

Because of the widespread feminine priority that makes it the receptacle of śakti, India is definitely “one of the last bastions of the Mother,” as is pointed out in a recent book. If in fact there is a “maternalistic” culture it is certainly that of India, in spite of the legal regime, in which the element of affectionate magic characterizing all life and all organic intimacy is affirmed through the warm symbiosis of mother-child love. A miracle of that absolute love (...) incarnated with a natural serenity by millions of mothers dispensing a felicitous affectionate security, instilled in the Indian soul throughout its entire life. The traits of the Hindu personality and the principle content of its culture are organized and ordered around this center, characterized by an extraordinary coherence. Since its construction begins with this “dual unity” the Hindu personality has necessarily the popolarity of fusion-separation as a pivot. This is the central theme of S. Kakar, who, basing his conclusions on results of clinical psychoanalyses of Hindu individuals as well as on contributions from the collective imagination (folklore and myths) claims to discern the ontogenetic source of the supreme ideal of deliverance (mokṣa) in early childhood and, more specifically, in the strong unconscious desire to find again the benevolent presence of the “good mother”. (shrink)

The aim of this study was to assess attitudes of intensive care nurses to selected ethical issues related to end-of-life decisions in paediatric intensive care units. A self-administered questionnaire was distributed in 2005 to intensive care nurses at two different scientific occasions in Turkey. Of the 155 intensive care nurse participants, 98% were women. Fifty-three percent of these had intensive care experience of more than four years. Most of the nurses failed to agree about withholding (65%) or withdrawing (60%) futile (...) treatment. In addition, 68% agreed that intravenous nutrition must continue at all costs. In futile treatment cases, the nurses tended to leave the decision to parents or act maternalistically. The results showed that intensive care nurses could ignore essential ethical duties in end-of-life care. We suggest that it is necessary to educate Turkish intensive care nurses about ethical issues at the end of life. (shrink)

I argue for compatibility between feminism and medicine by developing a model of the physician-other relationship which is essentially egalitarian. This entails rejection of (a) a paternalistic model which reinforces sex-role stereotypes, (b) a maternalistic model which exclusively emphasizes patient autonomy, and (c) a model which focuses on the physician's conscience. The model I propose (parentalism) captures the complexity and dynamism of the physician-other relationship, by stressing mutuality in respect for autonomy and regard for each other's interests.

In 1934, Karl N. Llewellyn published a lively essay trumpeting the dawn of legal realism, "On Philosophy in American Law." The charm of his defective little piece is its style and audacity. A philosopher might be seduced into reading Llewellyn’s essay by its title; but one soon learns that by "philosophy" Llewellyn only meant "atmosphere". His concerns were the "general approaches" taken by practitioners, who may not even be aware of having general approaches. Llewellyn paired an anemic concept of philosophy (...) with a pumped-up conception of law. Llewellyn’s "law" included anything that reflects the "ways of the law guild at large" - judges, legislators, regulators, and enforcers. Llewellyn argued that the legal philosophies implicit in American legal practice had been natural law, positivism and realism, each adopted in response to felt needs of a time. We must reckon with many other implicit "philosophies" to understand the workings of the law guild, not the least of which has been racism. Others, maternalism and paternalism, my foci here, persist in American law, despite women’s progress toward equality. Both maternalism and paternalism were strikingly present in a recent decision of the U.S. Supreme Court, Gonzales v. Carhart, upholding the federal Partial-Birth Abortion Ban Act. (shrink)

An overview of the feminist theory literature on welfare policy and politics is presented. This introductory essay places a particular emphasis on the works that fall within the political sociology and normative political philosophy genres. In a lengthy digression, the article offers a tribute to the work of Iris Marion Young. It examines the centrality of her thinking about distribution, cultural marginalization, the welfare state bureaucracy, transnational responsibility and solidarity, and the pitfalls of maternalist discourse for this field. In the (...) conclusion, the article makes brief remarks about each of the contributions to the special issue on Feminist Theory and Welfare. (shrink)

This paper addresses the issue of dehumanization in the workplace and attempts to offer directions to restore the balance between ‘results’ and ‘relations’ in organizations: The author has drawn inspiration from the classical Indian concept of spandan (vibration) and translates it into actionable values for integral development of the human being at three levels—interpersonal, institutional and cosmic. Using insights from empirical work done in Indian organizations, the author advocates a maternalistic style of management based on human values against the backdrop (...) of an overaching unitarian (advaita) philosophy for evolving holistic management principles and practices in future. (shrink)

Jaegwon Kim and others have claimed that (strong) psychophysical supervenience entails the reducibility of mental properties to physical properties. I argue that this claim is unwarranted with respect to epistemic (explanatory) reducibility (either of a global or of a local sort), as well as with respect to ontological reducibility. I then attempt to show that a robust version of nonreductive materialism (which I call supervenient token-physicalism) can be defended against the charge that nonreductive materialism leads to epiphenomenalism in failing to (...) account for the causal or explanatory relevance of mental properties. (shrink)

Cet article, qui porte sur la RDA, analyse d’une part l’impact des conditions sociales et des relations de genre sur les décisions des femmes en matière de famille, éducation et emploi, d’autre part l’interaction dynamique entre ces décisions et les politiques du parti au pouvoir (SED). En 1970, les femmes sont au centre des nombreux dilemmes économiques qu’affronte ce dernier. Entrées massivement sur le marché du travail dans les années 1960, les femmes ont fait moins d’enfants et pris des temps (...) partiels. Dans une RDA en manque de bras, ces comportements ont inquiété le SED et l’ont conduit à une révision majeure de la politique sociale et économique dans un sens favorable aux mères. Mais plutôt que de résoudre les problèmes économiques et démographiques, ces politiques maternalistes ont accéléré la privatisation et l’individualisation des subjectivités, spécialement chez les femmes éduquées, de plus en plus nombreuses. (shrink)