Half of the 33.2 million people living with HIV today are women. Yet, responses to the epidemic are not adequately meeting the needs of women. This article critically evaluates how prevention of mother-to-child transmission (PMTCT) programs, the principal framework under which women's health is currently addressed in the global response to AIDS, have tended to focus on the prevention of HIV transmission from HIV-positive women to their infants. This paper concludes that more than ten years after their inception, PMTCT programs (...) still do not successfully ensure the adequate treatment, care and support of HIV-infected women. Of particular concern is the continued widespread use of single-dose nevirapine despite World Health Organization recommendations to employ more effective combination therapies that do not potentially jeopardize women's future treatment outcomes. In response, the article calls for a more comprehensive approach that places women's health needs at the centre of AIDS responses. This is critical in settings where the pandemic is generalized and there is a push to greatly expand PMTCT programs, as a more effective and equitable way of meeting the needs of women in the context of HIV. Without such a comprehensive approach, women will continue to be impacted disproportionately by the pandemic, and current strategies for prevention, including PMTCT, and treatment will not be as effective and responsive as they need to be. (shrink)
It is widely accepted that physicalism faces its most serious challenge when it comes to making room for the phenomenal character of psychological experience, its so-called what-it-is-like aspect. The challenge has surfaced repeatedly over the past two decades in a variety of forms. In a particularly striking one, Frank Jackson considers a situation in which Mary, a brilliant scientist who knows all the physical facts there are to know about psychological experience, has spent the whole of her life in a (...) black and white room. He asks, What will happen when Mary is released from her black and white room or is given a colour television monitor? Will she learn anything or not? It seems just obvious that she will learn something about the world and our visual experience of it. But then it is inescapable that her previous knowledge was incomplete. But she had all the physical information. (Jackson 1986: 130). (shrink)
As he concludes poem 1.12, Propertius romantically asserts that Cynthia was prima and will be the finis. This article explores the supplemental readings that open up if we focus not on the temporal but on the geographical meaning of the word finis, a move invited by the poem itself and by the poems with which it belongs interpretively, all containing several allusions to space. Drawing on both Lacanian and cartographic theory, I suggest that the poet's engagement with questions of (...) fines reveals Propertius' response to a growing awareness and concern with issues of physical space and empire in the Augustan period. (shrink)
Une approche de « regards croisés » est adoptée dans l’ouvrage que dirige ici Cynthia Cockburn en collaboration avec Dubravka Zarkov : d’une part, douze auteurs se répartissent sur deux postes d’observation, la Bosnie-Herzégovine et les Pays Bas et d’autre part, leurs points de vues sont spécifiques selon leurs appartenances professionnelles et disciplinaires. Le point focal du volume est contenu dans le titre, difficile à rendre en français : qu’est-ce qu’un « moment post..
Difficile tolérance est écrit par Yves-Charles Zarka avec la collaboration de Cynthia Fleury en vue d’étudier la question de la tolérance dans les sociétés occidentales et la place qu’occupent les communautés arabo-musulmanes au sein de ces sociétés. Les deux auteurs mettent l’accent sur l’incompatibilité entre les valeurs de l’Occident et celles de l’islam ; ils défendent l’idée de l’impossibilité de l’émergence de la tolérance dans la culture de l’islam et soulignent la nécessité de réagir face aux revendications communautaires, de (...) plus en plus menaçantes pour la République. Cet article commente et discute les principaux postulats, présupposés et exemples historiques mobilisés par les deux auteurs. Il attire l’attention sur les erreurs de lecture, les contresens et les déformations au prix desquels les auteurs soutiennent leur thèse sur l’absence de la tolérance en islam. (shrink)
Expressions used in religious contexts have often seemed odd and paradoxical to philosophers. Statements have appeared in Christian discourse to the effect that God is not a person and yet is a person, that he is a servant and a king, that he is nothingness and being itself. These statements appear unintelligible either because their terms are self-contradictory or because they are mutually exclusive.
We think that certain of our mental states represent the world around us, and represent it in determinate ways. My perception that there is salt in the pot before me, for example, represents my immediate environment as containing a certain object, a pot, with a certain kind of substance, salt, in it. My belief that salt dissolves in water represents something in the world around me, namely salt, as having a certain observational property, that of dissolving. But what exactly is (...) the relation between such states and the world beyond the surfaces of our skins? Specifically, what exactly is the relation between the contents of those states, and the world beyond our bodies? (shrink)
The concept of “difference” forms the core of contemporary attacks on “liberal legalism” and is central to proposals for replacing it. Critics charge that liberal law quashes difference because it grounds political equality and individual rights in the assumption that all persons share certain “samenesses,” such as rationality or autonomy. In the words of the philosopher Iris Marion Young, “liberal individualism denies difference by positing the self as a solid, self-sufficient unity, not defined by or in need of anything or (...) anyone other than itself.” The claim is that this “sameness”-based vision of equality is in fact an exercise of power, reflecting a highly specific model of personhood that was constructed by and for a white male elite and ensures its continued social dominance. Liberalism's critics conclude that the achievement of social justice will be possible only when sameness-based conceptions of equality are rejected. (shrink)
Heroin prescription involves the medical provision of heroin in the treatment of heroin addiction. Rudimentary clinical trials on that treatment modality have been carried out and others are currently underway or in development. However, it is questionable whether subjects considered for such trials are mentally competent to consent to them. The problem has not been sufficiently appreciated in ethical and clinical discussions of the topic. The challenges involved throw new light on the role of value and accountability in contemporary discussions (...) of mental competence. (shrink)
In Bamboozled (2000), Spike Lee’s satire about a modern TV minstrel show, an auditioning actor named Honeycutt tells the show’s writer, Pierre Delacroix, “I even do Shakespeare shit. . . . To be or not to be, you know? That’s the motherfuckin’ question. . . . There’s a scene where this brother was—Laertes was asking the king, that he wanted to go to Paris and shit. The king asked his daddy, and his daddy say, ‘He hath, my lord, wrung from (...) me by laboursome petition. . . .’” Impatiently, Delacroix interrupts: “Was there any more to it, or was that pretty much . . . ?” Delacroix’s interruption of Honeycutt’s Polonius ironically echoes Polonius’s interruption of the speech of the First Player: “This is too .. (shrink)
The major dilemma for bioethics is choosing an appropriate method of ethical analysis, one that when applied to individual cases can illuminate if not resolve vexing ethical issues for providers and their patients. Two of these books offer direction in this regard. The framework Carson Strong adopts and makes a compelling case for in EthicsinReproductiveandPerinatalMedicine:ANewFramework is one of modified casuistry. Casuistry, imported to bioethics by Jonsen and Toulmin, is a practical, case-based method of ethical decisionmaking. It relies on comparison between (...) moral factors in a case under consideration and in paradigm cases with justifications for different outcomes. The preferred course of action is the one warranted by the paradigm case that most resembles the case under consideration. Strong's framework is a modified form of casuistry because it takes into account social and political views and allows for, upon occasion, a prioritization of values across cases. (shrink)