Objective:Prior research examining sexual and intimacy concerns among metastatic breast cancer patients and their intimate partners is limited. In this qualitative study, we explored MBC patients’ and partners’ experiences of sexual and intimacy-related changes and concerns, coping efforts, and information needs and intervention preferences, with a focus on identifying how the context of MBC shapes these experiences.Methods:We conducted 3 focus groups with partnered patients with MBC [N = 12; M age = 50.2; 92% White; 8% Black] and 6 interviews with (...) intimate partners [M age = 47.3; 83% White; 17% Black]. Participants were recruited through the Fox Chase Cancer Center Tumor Registry and the Cancer Support Community. Qualitative data were analyzed using the Framework Method and Dedoose software.Results:Qualitative analyses revealed several key themes reflecting ways in which MBC shapes experiences of sex/intimacy: the heavy disease/treatment burden leads to significant, long-term sexual concerns and consequent heightened emotional distress for both patients and partners ; viewing the relationship as having “an expiration date” influences patients’ and partners’ concerns related to sex/intimacy and complicates coping efforts; and information needs extend beyond managing sexual side effects to include emotional aspects of intimacy and the added strain of the life-limiting nature of the disease on the relationship. The heightened severity of sexual concerns faced by patients with MBC, compounded by the terminal nature of the disease, may place patients and partners at risk for significant adverse emotional and interpersonal consequences.Conclusion:Findings suggest unique ways in which sex and intimate relationships change after a diagnosis of metastatic breast cancer from both patients’ and partners’ perspectives. Consideration of the substantial physical and emotional burden of MBC and the broader context of the relationship and intimacy overall is important when developing a sexuality-focused intervention in this population. Addressing sexual concerns is a critical part of cancer care with important implications for patients’ health and quality of life. (shrink)

Cancer and its treatment pose challenges that affect not only patients but also their significant others, including intimate partners. Accumulating evidence suggests that couples’ ability to communicate effectively plays a major role in the psychological adjustment of both individuals and the quality of their relationship. Two key conceptual models have been proposed to account for how couple communication impacts psychological and relationship adjustment: the social-cognitive processing (SCP) model and the relationship intimacy (RI) model. These models posit different mechanisms and outcomes, (...) and thus have different implications for intervention. The purpose of this project is to test and compare the utility of these models using comprehensive and methodologically rigorous methods. Aims are: (1) to examine the overall fit of the SCP and RI models in explaining patient and partner psychological and relationship adjustment as they occur on a day-to-day basis and over the course of 1 year; (2) to examine the fit of the models for different subgroups (males vs. females, and patients vs. partners); and (3) to examine the utility of various methods of assessing communication by examining the degree to which baseline indices from different measurement strategies predict self-reported adjustment at 1-year follow up. The study employs a longitudinal, multi-method approach to examining communication processes including: standard self-report questionnaires assessing process and outcome variables collected quarterly over the course of 1 year; smartphone-based ecological momentary assessments to sample participant reports in real time; and laboratory-based couple conversations from which we derive observational measures of communicative behavior and affective expression, as well as vocal indices of emotional arousal. Participants are patients with stage II-IV breast, colon, rectal, or lung cancer and their spouses/partners, recruited from two NCI-designated comprehensive cancer centers. Results will be published in scientific journals, presented at scientific conferences, and conveyed to a larger audience through infographics and social media outlets. Findings will inform theory, measurement, and the design and implementation of efficacious interventions aimed at optimizing both patient and partner well-being. (shrink)

"Deborah McCauley and Laura Porter's text combines descriptions of the pictures with the history of the churches and interviews with members. They create a representative window into the material and oral culture of central Appalachia's independent Holiness heritage. Mountain Holiness is a book that will fascinate anyone who cares about these traditions, as well as anyone concerned with the preservation of America's most vital folkways."--BOOK JACKET.

What does it mean to be a good thinker? Which virtues work together in someone who possesses good intellectual character? Although recent research on virtues has highlighted the benefits of individual intellectual virtues, being an excellent thinker is likely a function of possessing multiple intellectual virtues. Specifically, a good thinker would both recognize one’s intellectual shortcomings and possess an eagerness to learn driven by virtues such as love of knowledge, curiosity, and open-mindedness. Good intellectual character may only successfully manifest when (...) individuals possess not just one or a few intellectual virtues, but a larger set of such virtues to different degrees. However, little is currently known about what combination of virtues are necessary for good thinking. We argue that it is important to identify and clarify the nature of the good thinker and outline a profile methodology for achieving this goal. This approach characterizes the good thinker in terms of a profile of multiple intellectual virtues. Understanding this profile can allow greater insight into the extent to which people possess such a profile, and the potential for societal benefits of educating for these qualities. (shrink)

Woollard and Porter argue that mothers have no moral duty to breastfeed their babies. Rather, mothers simply have moral reason(s) to breastfeed, stemming from the benefits of breast feeding for babies. According to Woollard and Porter, doing what one has moral reason to do is often supererogatory, not obligatory. I agree that mothers have no moral duty to breastfeed. However, it is misleading to suggest that mothers in general have moral reason to breastfeed and to liken not breastfeeding (...) to not performing some supererogatory action. I will suggest mothers in general have pro tanto, but not all-things-considered, moral reason to breastfeed. Moreover, I suggest many mothers also have pro tanto moral reasons not to breastfeed. Breastfeeding is not always supererogatory; indeed, sometimes not breastfeeding is morally better. This is important because it contradicts dangerous assumptions in public discourse. One way of characterising popular consensus about breastfeeding is as Woollard and Porter do: mothers have a duty to breastfeed. But we might also characterise popular consensus differently: all moral reasons for/against breastfeeding are on the ’pro’ breastfeeding side of the issue, whereas if there are any (good) reasons not to breastfeed these are non-moral (prudential). Woollard and Porter’s argument is important and correct in concluding that mothers have no duty to breastfeed, but it leaves this other false and dangerous idea intact and even subtly reinforces it. (shrink)

Feminist therapy is more than a prescription of technique; it is a unique philosophy of psychotherapy. While much has been written on feminism and therapy, this bold book breaks new ground by making explicit and coherent the theoretical underpinnings of feminist therapy.Building on the revolutionary work of feminist scholars who have described how women employ strategies of knowing the world in a manner distinct from men, Laura S. Brown, noted for her pioneering work in the field of ethics and (...) boundaries, shows how these insights should reshape the very nature of the therapeutic encounter. With meticulous care, the author examines key features of the therapeutic encounter with a feminist lens: the power of the therapist; assessment and diagnosis; the nature of change; the ethics of practice; and differences in race, class, and sexual identity. She constructs a vision of therapy that helps the client develop a sense of entitlement to satisfying and equal relationships outside the therapist's office. This powerful vision of feminist therapy is grounded throughout with case examples that illustrate how a dialogue between therapist and client can be healing, subversive, and transformative all at once. (shrink)

Recent revisions in child support and paternity establishment legislation enacted under the 1996 welfare reform act, the Personal Responsibility and Work Opportunity Reconciliation Act, significantly alter the American welfare state's relationship to men's fathering. Through a critical review of prior research and social service literature, the authors argue that PRWORA actively constructs fatherhood not only through state policies that maintain males as “breadwinners” but also through state-sponsored social service programs that seek to influence men's identities as fathers. PRWORA's policies and (...) their accompanying discourses simultaneously reproduce and undermine gender hierarchy yet tacitly maintain structural race and class inequalities. (shrink)

This article presents a conceptual framework within feminist therapy theory for viewing overt and covert racist behaviors as forms of unethical action. Using the personal as theoretical and political, the author traces her process of having her consciousness raised regarding the issue of racism in psychotherapy. Racism is then conceptualized as an ethics problem in terms of lack of mutuality and respect, violation of boundaries, and unethical imbalance of power in the therapy relationship. The concept of antiracism, a proactive stance (...) to address overt and covert racism in therapy, is presented as a strategy for moving toward more ethical therapy practice. (shrink)

Global crises such as the climate crisis require fast concerted action, but individual and structural barriers prevent a socio-ecological transformation in crucial areas such as the mobility sector. An identification with people all over the world and an openness toward less consumption may represent psychological drivers of a socio-ecological transformation. We examined the compatibility of both concepts as well as their relation to people’s support of a decarbonised mobility system and their flight mobility behaviour – a CO2-intensive behaviour that may (...) be particularly difficult to refrain from for globally identified people, but less so for sufficiency-oriented people. In an online study conducted in Germany, we found that global identity and sufficiency orientation were positively related. Both were negatively related to past flight-related CO2 emissions and positively related to refraining from flying and the support of decarbonised mobility policies. Accounting for both showed that sufficiency orientation in particular was related to fewer flight-related CO2 emissions and refraining from flying. Furthermore, we examined people’s travel experiences. While global identity was unrelated to the frequency and duration of international travelling, it was positively related to the frequency and quality of contact with local people met on journeys. An experimental variation of whether participants first answered questions on global identity or on travel experiences revealed that remembering past international travelling led to higher reported levels of global identity. Taken together, global identity seems to profit from in-depth international contact with people, but can be decoupled from resource-intensive travel behaviour. Globally identified and sufficiency-oriented people may support a socio-ecological transformation. Our results indicate a compatibility of global identity and sufficiency orientation. Experimental and longitudinal research should examine causal links to foster our understanding of the conditions under which both can be strengthened. (shrink)

How can citizens construct the political authority under which they will live? I argue that Thomas Hobbes’s Leviathan (1651) answers this question concerning the constitutive power of political and normative agency by employing four dimensions of mimesis from the Greek and Roman traditions. And I argue that mimesis accounts for the know-how, or power/knowledge, the general ‘man’ draws upon in constructing the commonwealth. Hobbes revalues poetic mimesis through his stylistic decisions, including the invitation to the reader to read ‘himself’ in (...) the portrait of the general man depicted in the text. Hobbes aims for Leviathan to change the ethical dispositions of its readers, turning them from bad to good men as they witness the general man undergoing this ethical transformation in the transition from the state of nature to the civil state. He emphasizes the anthropological dimension of mimesis to explain political disorder since he argues that men assess the honor others attribute them by observing signs and gestures in others’ behavior. Hobbes employs the linguistic dimension of mimesis to describe how men acting as agents can build a normative consensus out of the state of nature. This article positions mimesis as a key term for understanding the intersection between aesthetics and politics before the term ‘aesthetics’ came into parlance. (shrink)

In order to move towards an Ethic of Accounting, one must start by defining the function and role of the accountant. This in turn depends to a great extent on the identity of the client or whatever party the Accountant owes his loyal agency to. The issue is one of cardinal importance, and it is perceived as such by the accountants themselves. Loeb for instance says that the client-identity issue is overriding importance now, and will become even more crucial in (...) the immediate years ahead. The question of what constitutes ethical behaviour on the part of the accountant will depend then upon the relation within which such ethical behaviour will have to be deployed.The main question raised in this paper will therefore be, is the accountant primarily engaged by one client (whether an individual or a corporation) to act as their agent, deal with their problems by loyally advancing their interests to the best of his professional competence, although within the limits imposed by law and morality? Or is the public sector to be considered the principal target of the accountant's resolute professionalism and unswerving loyalty? (shrink)

it is common in reid scholarship to use the notion of intentionality both to explicate his notion of conception and to explain his talk of acts such as perception having objects distinct from themselves. With regard to conception, Reid states that every act of conception “must have an object; for he that conceives, must conceive something.”1 Using the notion of intentionality, commentators interpret this to mean that, through conception, the mind is directed on an object, and that acts of conception (...) are always of an object or about something.2 Commentators further explicate the purported intentionality of conception in terms of it being an act of representing something or having representational content, where... (shrink)

This article analyzes two poetic units within a much longer composition composed by Yannai for recitation on Yom Kippur. Specifically, it offers readings of Unit 8, which prefaces the third blessing of the Amidah, and Unit 15, which concludes the work. Both units dwell on the physical experience of Yom Kippur and the ways in which ritual affects the body, permitting us to consider the role of “kinesthetic theology” – i.e., how physical expression and embodied experiences not only reflect but (...) shape belief – in the composition. (shrink)

In this essay, the author focuses on an underlying theoretical issue which she believes seriously affects our collective response to the idea of group rights in the genetic-control context. That issue is to what extent are our responses to claims of group rights hampered by our bringing to the table a model which is structured to acknowledge only individual concerns? Put another way, to what extent are our objections to group rights in this context a product of our inability to (...) imagine the idea of group rights, rather than the product of truly substantive concerns? (shrink)

During the past 20 years, the importance of human genetic information has exploded. Whether sought for medical treatment, disease prediction studies, cultural studies, or the general study of human origins, human genetic information is now viewed as crucial for scientific research and general attempts at human understanding.With the importance of genetic information have come bitter battles over its control. The demonstrated power of human genetic information has moved the issue of its “ownership” from the realm of musty academic musings to (...) protracted political and legal battles among “source” individuals, researchers, commercial concerns, government agencies, and others. Whether collected through targeted scientific studies, “discarded” biological tissue, initial charitable bequest, or other means, genetic information and the biological materials in which it is contained have become the subject of protracted legal battles for control and intense social and ethical controversy. (shrink)

(1987). The vésuviennes: Images of women warriors in 1848 and their significance for French history. History of European Ideas: Vol. 8, No. 4-5, pp. 451-488.

In this commentary I discuss the shared theme found in articles by Hoult, Calof, Cheit, Freyd, and Salter (this issue) of the prices of resisting attempts to engender silence when the topic is sexual abuse of children. The parallels between silencing tactics of sexual abusers of children and those used by the false memory movement against its critics are analyzed. Questions are raised about the ethical implications of such silencing strategies.

One of the most powerful words in the English language, "corruption" is also one of the most troubled concepts in law. According to Laura Underkuffler, it is a concept based on religiously revealed ideas of good and evil. But the notion of corruption defies the ordinary categories by which law defines crimes—categories that punish acts, not character, and that eschew punishment on the basis of religion and emotion. Drawing on contemporary examples—including former assemblywoman Diane Gordon and former governor Rod (...) Blagojevich—Underkuffler explores the implications and dangers of maintaining such an archaic concept at the heart of criminal law. "Underkuffler challenges the traditional rational and logical characterizations of corruption and defends a highly original and insightul proposal. In her view corruption is an emotional concept grounded in religious ideas defying traditional criminal law doctrines. This book is a fantastic contribution to the study of corruption as well as more generally to the study of law and culture."—Alon Harel, Hebrew University Law School. (shrink)

Legal scholars and philosophers have long been engaged in what has been called 'the pursuit of the holy grail of property' - the secret of the internal structure of property in law. Attempts to capture the idea of property have encountered two fundamental problems. First, it has been notoriously difficult to advance beyond the observation that property involves 'ownership' of 'things', with the incidents of ownership and the list of things owned an essentially descriptive task. Second, it is difficult to (...) explain the wildly inconsistent power that property rights - even when identified - seem to enjoy.In this book, Professor Underkuffler advances our understanding of what property is, as an idea, and the power that claimed property rights should have against competing public interests. There is, she argues, a deeper analytical structure of the idea of property that we can uncover, and - as a result of that discovery - deeper reasons that we can find for property's variable power. It is not a random or unprincipled event that property generally protects in cases involving land titles or patent claims, and fails to protect in cases involving environmental regulation or redistributive taxation. She argues that these results are driven - indeed, predetermined - by the nature of property, as an idea, and the conflicts of that idea with competing public interests. The implications of this book are far-reaching. It explains and justifies - on new grounds - why some property claims are traditionally powerful in law, and others not. It suggests how property rights in controversial or emerging areas should be treated, such as those involving the body as property, personal information as property, cultural property, and state redistributive claims. Finally, it establishes why the protection of property is, in fact, necessarily different from freedom of speech, freedom of religion, due process of law, and other rights - necessitating its different treatment, and lesser protection, as a constitutional right. (shrink)

Generally, in liberal democratic systems, it is assumed that government should forbear from interference with existing individual property entitlements. It is assumed that existing individual property entitlements should be respected, with government reluctant to interfere. Despite the ubiquity of this assumption, the theoretical underpinning for it is not obvious. A sovereign must respond to the needs of all of the members of the greater community for which it speaks. In view of this obligation, irrevocably assigning property rights to some, and (...) not to others, is an inherently troublesome proposition. In this Article, the reasons for this state of affairs are examined. The conclusion is reached that conventional theories advanced by courts and commentators for government forbearance — such as protecting individual reliance interests, or advancing other independent policies — fail to explain the forbearance phenomenon. A more convincing reason can be found in a public fiduciary theory of government. However, recognition of this reveals that the property/sovereignty relationship is far more complex than a simple forbearance model would dictate. In fact, it mandates — in some circumstances — government nonforbearance, as well. (shrink)

Religious exemptions present an anomaly in American law. Under the power of religious exemptions, individuals and organizations whose actions violate civil and criminal laws are exempt from those l...

A regime of private property is, by nature, morally controversial. Property in physical, external, finite, non-shareable resources has one irreducible and undeniable consequence: if it is given to...

The past thirty years have seen substantive debate on the nature of Robert Boyle’s self-described “Mechanical” or “Corpuscularian” philosophy, its treatment of kinds and qualities, its relation to his experimental studies, its relation to other sixteenth- and seventeenth-century matter theories, and its role in the development of chemistry. Using several different strands from this literature, Marina Banchetti-Robino aims to show how Boyle addresses issues relevant to philosophy of chemistry today: the emergent nature of chemical properties, the mereology of fundamental chemical (...) wholes, and the nonreducibility of chemistry to physics. The last issue frames the whole book, which she describes... (shrink)

The burden of this piece is to draw together into a coherent whole the somewhat diverse strands of Israel Scheffler's thought on the philosophy of religion. Extrapolating from personal discussions with Professor Scheffler, various of his books, articles, and other unpublished materials authored and kindly provided by him, I contend that he adumbrates a post-empiricist rendering of religious belief which masterfully avoids some philosophical problems, while unwittingly giving rise to others. Committed to the view that the methodology of science – (...) in one or other of its more acceptable guises – provides the most reliable measure of the content and structure of reality. Scheffler is bound conceptually to redefine Jewish belief in such a way that the traditional conflict between religion and science never emerges. Consistent with this end, he is concerned to divest traditional Judaism of its metaphysical garb, so that what remains are simply the matters of living to which religion ought properly on his view address itself. The Bible is thus reconceptualized as a piece of rich literature, of no real difference in logical kind to any other piece of rich literature, except that it defines uniquely, along with the Torah and other relevant Jewish literature, the history of the particular community whose perception of human values and meaningfulness forms the core of what it is to be Jewish. (shrink)

Volume 20, Issue 5, June 2020, Page 22-23.

In caring for pediatric patients, a multifaceted approach in decision-making is utilized. The role of the medical team in complementary and alternative medicine is controversial. In cases of conventional treatment refusal by parents in pursuit of complementary and alternative medicine, there must be balanced decision-making, autonomy, and the best interest of the child. This report highlights two illustrative cases of patients with brain tumor, whereby parents refused postoperative conventional therapy involving chemoradiotherapy, in pursuit of complementary and alternative medicine alone. Parental (...) decision-making in complementary and alternative medicine, in lieu of medical recommendations, poses an ethical and legal dilemma that may impede care of the pediatric patient and compromise outcome of oncological care. (shrink)

Establishing territorial control was one of the primary activities of colonial presence on Timor from the late nineteenth century. In Portuguese Timor as elsewhere in Southeast Asia, the colonial s...