While sexual and gender minorities are at increased risk for poor health outcomes, there is limited data regarding patient-provider interactions. In this study, we explored the perspectives of LGBTQ patients and their encounters with physicians in order to improve our understanding of patient-physician experiences. Using purposive selection of self-identified LGBTQ patients, we performed fourteen in-depth semi-structured interviews on topics of sexual orientation and gender identity, as well as their perceived role in the patient-provider relationship. Coding using a modified grounded theory (...) approach was performed to generate themes. We identified three major themes that demonstrate the complexity of LGBTQ patient experiences. The first, Lacking trust, identifies mistrust and loss of the physician-patient relationship resulting from physicians’ poor or judgmental communication, or from physicians making assumptions about gender, using incorrect pronouns, and not recognizing heterogeneity within the transgender community. A second theme, Being vulnerable, describes the challenges and fears related to comfort of patients with disclosing their sexual orientation and/or gender identity. A final theme, Navigating discrimination, outlines racial or ethnic discrimination which creates an additional burden on top of illness and stigmatized identity. Our results reveal the complex needs of individuals with multiple stigmatized identities when developing relationships with providers. By using an intersectional perspective that appreciates the plurality of patients’ identities, providers can help to improve their relationships with LGBTQ patients. Incorporating intersectional training for medical students and residents could greatly benefit both LGBTQ patients and their physicians. (shrink)

The precise nature of microaggression purposely obscures the exploration of the intentionality of perpetrator and the quantification of the harm committed. The act fits neatly into a system that privileges some and validates their reality to themselves and to us. This paper explores microaggression and recommends strategies for avoiding its harms.

The practices of using hostages to obtain concessions and using human shields to deter aggression share an important characteristic which warrants a univocal reference to both sorts of conduct: they both involve manipulating our commitment to morality, as a means to achieving wrongful ends. I call this type of conduct “moral coercion”. In this paper I (a) present an account of moral coercion by linking it to coercion more generally, (b) determine whether and to what degree the coerced agent is (...) liable for the harms resulting from acceding to moral coercion, and (c) investigate factors relevant to determining whether we ought to accede to moral coercion. In so doing, I provide grounds for the intuition that we “allow evil to succeed” when we accede to moral coercion. (shrink)

How do we know that what has happened to us is a microaggression? I claim in this chapter that our understanding about how we perceive microaggression is grounded in the cultivation and critical reflection about experiences of people who occupy marginalized social locations. My aim is to explore the nature of epistemic harms of microaggression in order to highlight how they diminish the microaggressed’s ability to generate and participate in making knowledge claims. I differentiate between the primary (direct) harm of (...) microaggressive acts, and the secondary epistemic harms that occur in the aftermath of the microaggression, particularly when the microaggressed attempts to convey their experience to others. I conclude with an analysis of the two secondary harms in hopes that it helps us explore a possible avenue of resistance to the epistemic harms of microaggression. (shrink)

This essay examines why the recent recognition of human rights violations against women, as exemplified by Amnesty International's 1995 report on women, remains bound to the limitations of traditional approaches to human rights. The essay argues that despite Amnesty International's commitment to incorporating violations against women into its activities, it nevertheless upholds questionable assumptions about the gendered subject, gender relations within the family, and the relationship between the family and the state.

One important function of emotions is to guide decision making and behaviors for survival in complex environments. In the context of such reasoning, the somatic marker hypothesis (Damasio, 1994) has argued that bodily states are represented in specific brain regions, such as the insula, and would play critical roles in decision making. However, it still remains unclear what causal roles bodily states would play in decision making, and how the bodily states would change accompanying decision making. Thus, the aim of (...) this article is to reconsider aspects of the brain and bodily states in decision making based on recent findings. Questions for future research are proposed based on such findings. (shrink)

The purpose of this paper is twofold: (i) we argue that the structure of commonsense knowledge must be discovered, rather than invented; and (ii) we argue that natural language, which is the best known theory of our (shared) commonsense knowledge, should itself be used as a guide to discovering the structure of commonsense knowledge. In addition to suggesting a systematic method to the discovery of the structure of commonsense knowledge, the method we propose seems to also provide an explanation for (...) a number of phenomena in natural language, such as metaphor, intensionality, and the semantics of nominal compounds. Admittedly, our ultimate goal is quite ambitious, and it is no less than the systematic ‘discovery’ of a well-typed ontology of commonsense knowledge, and the subsequent formulation of the longawaited goal of a meaning algebra. (shrink)

Minimal responsibility threateners are epistemically justified but mistaken in thinking that imposing a nonnegligible risk on others is permissible. On standard accounts, an MRT forfeits her right not to be defensively killed. I propose an alternative account: an MRT is liable only to the degree of harm equivalent to what she risks causing multiplied by her degree of responsibility. Harm imposed on the MRT above that amount is justified as a lesser evil, relative to allowing the MRT to kill her (...) victim. This hybrid account, which generalizes to those are who are more than minimally responsible, has considerable advantages. (shrink)

This paper argues that one of the most valuable insights that Muslim-Americans ought to bring into the political arena is our affective response to the government of the United States' internal and foreign policies regarding Muslims. I posit the concept of empathy as one such response that ought to inform our foreign policy in a manner inclusive of Muslim-Americans. The scope of our epistemic privilege encompasses the affective response that crosses borders of the nation-state in virtue of our propinquity to (...) the narratives of Muslims globally. Such an affective response is crucial to our selves remaining multiplicitous and whole. Furthermore, I argue that we ought to access and assess those aspects of our identity that make us subject to suspicions of disloyalty, because it is precisely those aspects that can inform our social and political discourse in a more morally adequate and responsive way. (shrink)

Face detection plays important roles in many applications such as human–computer interaction, security and surveillance, face recognition, etc. This article presents an intelligent enhanced fused approach for face recognition based on the Voronoi diagram and wavelet moment invariants. Discrete wavelet transform and moment invariants are used for feature extraction of the facial face. Finally, VD and the dual tessellation are used to locate and detect original face images. Face recognition results based on this new fusion are promising in the state (...) of the art. (shrink)

We argue for a compositional semantics grounded in a strongly typed ontology that reflects our commonsense view of the world and the way we talk about it. Assuming such a structure we show that the semantics of various natural language phenomena may become nearly trivial.

The epistemology of Richard of Saint-Victor is characterised through a detailed analysis of contemplatio, the highest mode of human knowledge. Contemplatio culminates in an ecstasy, in which man reaches the highest object of his knowledge, God himself, and is fulfilled by true spiritual pleasure. This plenitude of spiritual pleasure is not just the fruit of knowledge, but fed by love. Richard distinguishes three paths of knowledge in accordance with the growth of the love between God and man. The love of (...) God gives an orientation to human knowledge. Through the love of God human knowledge is structured from disoriented cogitatio to oriented meditatio as a spiritual ascent to the divine things supported by virtues, then finally to contemplatio, which culminates in ecstasy with true spiritual pleasure. So the essence of true spiritual pleasure reflects the structural key of the highest knowledge, contemplatio, namely the love of God. (shrink)

Jeff McMahan has argued against the moral equivalence of combatants (MEC) by developing a liability-based account of killing in warfare. On this account, a combatant is morally liable to be killed only if doing so is an effective means of reducing or eliminating an unjust threat to which that combatant is contributing. Since combatants fighting for a just cause generally do not contribute to unjust threats, they are not morally liable to be killed; thus MEC is mistaken. The problem, however, (...) is that many unjust combatants contribute very little to the war in which they participate—often no more than the typical civilian. Thus either the typical civilian is morally liable to be killed, or many unjust combatants are not morally liable to be killed. That is, the liability based account seems to force us to choose between a version of pacifism, and total war. Seth Lazar has called this “The Responsibility Dilemma”. But I will argue that we can salvage a liability-based account of war—one which rejects MEC—by grounding the moral liability of unjust combatants not only in their individual contributions but also in their complicit participation in that war. On this view, all enlistees, regardless of the degree to which they contribute to an unjust war, are complicitously liable to be killed if it is necessary to avert an unjust threat posed by their side. This collectivized liability based account I develop avoids the Responsibility Dilemma unlike individualized liability-based accounts of the sort developed by McMahan. (shrink)

With the ever‐increasing lifespan along with societal changes, women can marry and procreate later than in previous centuries. However, pathogenic genetic variants segregating in the population can lead to female subfertility or infertility well before the average age of normal menopause, leading to counter‐selection of such deleterious alleles. In reviewing this field, we speculate that a logical consequence would be the later occurrence of menopause and the extension of women's reproductive lifespan. We illustrate this point with a simple model that (...) applies to other variants that contribute to female infertility, including epigenetic variation. We also consider the effect of medical interventions and lifestyle. (shrink)

The aim and objective of this study is to analyse the causes of domestic violence against married women in Pakistan providing a complete picture of understanding on the phenomenon. This study was conducted in Safoora Goth, Karachi one of the oldest residential centre of Karachi where all local ethnic groups and class of people are inhabited. The factors included in the study were various reasons of domestic violence, nature of domestic violence, types of domestic violence, separation, and feeling of deprivation, (...) husband drug addiction, partner violence, family system, family economic, ages of women and all other such related causes regarding domestic violence. The universe of the study was Safoora Goth, Karachi. The calculated sample size was 313 respondents in which researcher selected simple random sampling technique. The tool for the data collection was a questionnaire. Hypotheses were tested statistically among 5 hypotheses all have gotten accepted and showed the result as there are various causes of domestic violence. Thus, the researcher concluded that family system, family income and husband drug addiction are related to the domestic violence in a great deal. (shrink)

In this paper, I explore the significance of an intersectional lens when it comes to our conversations surrounding the #MeToo movement, in particular the way that such a lens helps us in recognizing narratives of sexual assault and harassment that are not typically viewed as such. The mainstream discourse on #MeToo in the United States has been quite exclusionary when it comes to women who are non-dominantly situated within societal structures. In particular, this paper looks at how Muslim American women’s (...) issues surrounding sexual assault and harassment are presented as exotic and a function of their religion and culture, further narrowing what is considered worthy of attention within the discourse of the #MeToo movement. I argue that one such instance of sexual harassment that isn’t seen as such, is hijab snatching within particular contexts. Furthermore, I argue that a lack of an intersectional lens results in not only privileging certain harmful voices under the guise of inclusivity, but even when invaluable voices are allowed to enter mainstream discourse, they are often the sort that sidestep issues of Western imperialistic practices, Islamophobia, racialization of Muslims, etc. I highlight the dangers of speaking for others, especially in ways that attribute sexual violence experienced by Muslim women to their cultures and/or their men. I argue that acknowledging these dangers is in itself a crucial part of an inclusive conversation on #MeToo. (shrink)

This research aspires to represent the subversion of pre-defined gender roles in the novels; The Shadow of the Crescent Moon by Fatima Bhutto, Butterfly Season by Natasha Ahmed, and Stained by Abda Khan. The researchers aim to depict the destabilization of gender-based stereotyped identity from the Pakistani perspective. The selected method of study is Feminist Analysis by Tyson, which examines literature as a medium to represent feminist issues, whereas; the theoretical angle of “Matrix of Domination” from Collins’ Feminist/Gender theory is (...) used as a principle to analyze and depict the subversion of pre-defined gender roles in the selected novels. This study aims to establish the notion of gender as a social construct that could be subverted through literary discourses that have the potential to challenge the power-based gender roles within a patriarchal society. In this regard, different critical works of prominent theorists and writers have been discussed briefly in the literature review to project the significance of the works by contemporary Pakistani women writers as a medium to subvert identities formed by their society. Gender is also a means of power through which the dominant seeks to control the subordinate. The objective of this research is to suggest that gender is socially constructed, therefore, it can be deconstructed through literature. The selected novels exemplify the current gender inclinations of today’s Pakistan with the pen of female writers. Stereotyped gender identity is a socially constructed vice that divides humans into segments, hence it is required of the contemporary discourses to decenter such power discourses that perpetuate hegemonic boundaries and restrict the women into social shackles of imposed identities. (shrink)

This paper examines the trait of submissiveness within the framework of virtue ethics. Submissiveness is generally regarded as a vice, particularly when evaluated in reference to patriarchal systems. This paper argues that there is something valuable about the trait of submissiveness—when it functions as a virtue—that is lacking in secular contexts, and this lack detracts from the possibilities of a good life.

西洋哲学に対峙した日本の二人の思索者は無や直観、時間や場所などの主題をめぐり何を共有し、どうすれ違ったのか。明晰な最新研究。.

This study is based on Post-cyberpunk in order to highlight the prominence of Postcyberpunk as an emerging representative genre of Postmodern Literature. Technological progress has altered the ontology of being a human in an era of information technology, thus this study aims to critically discuss the issues of id entity and representation. Although ample critical work has been done on genre Postcyberpunk yet this study is unique in a way that it is a collection of different discursive practices related to (...) identity crises presented in selected Post-cyberpunk narratives. It targets to critically analyze the alternations and transformations in representation of identity in the backdrop of Postmodernist Deconstruction of Metanarratives by Lyotard. Apart from the deconstruction of metanarratives this study signifies the relevance of Post-cyberpunk as Postmodernist Literature that represents society through multidimensional discursivity such as capitalism, hypercasaulization, imperialism, religion, economy and technology. This study aims to deconstruct the metanarratives of identity that were considered to be permanent and claimed to be power narratives. It equally represents the deconstruction of center/margin dichotomy by bringing mininarratives into the center. The method adopted for research is SocioCognitve Approach by van Dijk from Critical Discourse Analysis. (shrink)

Abstract The purpose of this paper is twofold: (i) we will argue that formal semantics might have faltered due to its failure in distinguishing between two fundamentally very different types of concepts, namely ontological concepts, that should be types in a strongly-typed ontology, and logical concepts, that are predicates corresponding to properties of, and relations between, objects of various ontological types; and (ii) we show that accounting for these differences amounts to a new formal semantics; one that integrates lexical and (...) compositional semantics in one coherent framework and one where formal semantics is embedded with a strongly typed ontology; an ontology that reflects our commonsense knowledge of the world and the way we talk about it in ordinary language. We will show how in such a framework a number of challenges in the semantics of natural language are adequately and systematically treated. (shrink)

This essay is a conversation between two South Asian Muslim sisters both of whom are feminist academics of color, where one immigrated to the United States and the other, a decade apart, to United Kingdom. The aim of this essay is to examine the ways in which white supremacist structures influenced and molded our personal journeys as well as how our narratives are deeply entangled within broader conversations around patriarchy, neo-liberal feminism, and anti-Muslim racism.

Medical billing has become so intertwined with patient care, that in order to be truly committed to the physician's telos of managing a patient's medical suffering, it is imperative that physician ought to reexamine many of the ethical considerations about billing.

In this chapter, I deal with some of the reasons why the United States should not institute any implicit or explicit religion-based tests as grounds for immigration. I argue it is extremely impractical to formulate and execute a test that would be effective in rooting out extremists. However, even if such a test could be devised, immigration requirements that link religion to belonging inevitably foster an irrational fear of an entire group of people as perpetual outsiders. Furthermore, religion-based immigration tests (...) set up a state apparatus where the government surveils its residents for their thoughts and beliefs. (shrink)

The current study aims to construct and validate a measure of research misconduct for social science university students. The research is comprised of three studies; Study I presents the scale construction in three phases. In Phase I, the initial pool of items was generated by reviewing the literature and considering the results of semi-structured interviews. Phase II involved a psychometric cleaning of items, after which 38 items were retained. In Phase III, those 38 items were proposed to 652 university students, (...) and data were exposed to exploratory factor analysis, which extracted a one-factor structure with 15 items and 55.73% variance. Study II confirmed the factorial structure of the scale using an independent sample of university students. Confirmatory factor analysis of the scale demonstrates a good model fit to the data with the one-factor structure established through the exploratory factor analysis. The scale exhibits good internal consistency, with a Cronbach’s alpha of 0.95. Study III involves validation of the scale, with evidence for convergent validity collected from a sample of university students. The results reveal that the research misconduct scale has significant positive correlations with academic stress and procrastination and a significant negative correlation with academic achievement. The obtained convergent validity testifies that the scale can be considered a psychometrically sound instrument to measure research misconduct among social science university students. (shrink)

The political posture often encouraged in liberatory movements is that of urgency. Urgency is based on the idea that if oppressed peoples do not act “now,” then their fate is forever sealed as subordinates within social and political power hierarchies. This paper focuses on a contrasting political posture, termed presence of mind, motivated by the current political atmosphere of distrust and disenfranchisement in which some Muslim-Americans find themselves. Presence of mind is defined as the ability to critically unpack visceral affective (...) responses to injustice—giving special consideration to power structures, one’s social location, and relationships—and then to asses an appropriate response in virtue of that consideration that best upholds our commitments. This paper argues that cultivating presence of mind acknowledges the complexities of the Muslim-Americans’ identity while providing a posture that allows the resistor to best represent their political commitments. (shrink)

Overall, this book is indispensable for anyone wanting to have a richer understanding of how the Qur’an is read and interpreted within a feminist context. It is a wonderful synthesis of the work that has been done in the field thus far and provides tools necessary to seek out new avenues in understanding the Qur’an while still retaining a feminist spirit. Yet, in the end, this book does not disturb Muslim world order. It remains an overwhelming possibility for Hidayatullah that (...) interpretations which hierarchally differentiate between men and women may not be wrong. There is a comforting sense of resignation, or at least an affirmation of the ambivalence that Muslim mothers have transmitted to their daughters for centuries. We, feminist Muslims, are left with the same ambiguity with which we started the book. However, we now have a much deeper understanding of the nature of that ambiguity, and that perhaps is worth embracing in itself. (shrink)