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Why support a women's medical college? Philadelphia's early male medical pro-feminists.

The male founders and early faculty of Philadelphia's Woman's Medical College were mostly abolitionist physicians, zealous moralists for whom medical feminism formed only one of the cherished causes they could "manfully" and righteously defend. Male faculty of the late nineteenth century comprised "self-made" men, mostly new specialists, for whom strict sexism probably seemed inconsistent with progressive medicine. For some of these physicians-obviously a small minority-defending medical women and breaking the barriers of fraternity could be consistent with "manly" responsibility. The outcome of the collaboration of women and the dissident men physicians in nineteenth-century Philadelphia amounted to another seeming paradox: the majority of the male medical profession, both locally and nationally, tyrannically hindered women's entry into the profession, yet medicine opened its doors in advance of law and the clergy; and where this first occurred, such as in the community centered on Woman's Medical College, a novel gender rearrangement arose based on collaboration and friendship.

Female↗

"Please include this in your book": readers respond to Our Bodies, Ourselves.

This paper focuses on those ordinary women who responded to editions of Our Bodies, Ourselves in the 1970s and 1980s, illustrating how readers played a crucial role in the development and articulation of health feminism. By analyzing the exchange between writers and readers of the most popular and influential women's health text of this era, it reveals the process by which feminists translated and interpreted medical information about women's bodies. The personal stories of readers challenge us to consider the role of ordinary women in shaping the development of the women's health movement.

Attitude to Health↗

Diverging destinies: how children are faring under the second demographic transition.

In this article, I argue that the trends associated with the second demographic transition are following two trajectories and leading to greater disparities in children's resources. Whereas children who were born to the most-educated women are gaining resources, in terms of parents' time and money, those who were born to the least-educated women are losing resources. The forces behind these changes include feminism, new birth control technologies, changes in labor market opportunities, and welfare-state policies. I contend that Americans should be concerned about the growing disparity in parental resources and that the government can do more to close the gap between rich and poor children.

Adult↗

[Gender category in nursing].

The aim of this study was to analyze the gender categories, in the gender studies in Brasilian Nursing. Using an exploratory approach, we analyze the articles in this area, published en ten Brasilian journals, from 1955 through 1997/1. Based on the analysis of the texts, the main categories to what the attention of the authors converged, were: gender and, historical and social determinants in the nursing profession development, gender and work, gender and health, gender and education, gender and feminism. Other important perspectives, less emphasized but emerging in the nursing literature, were: gender and caring, gender and family, gender and violence.

Education, Nursing↗

Origins and development of the injunction prohibiting sexual relationships with patients.

This paper addresses the historical context, both ancient and modern, of the injunction prohibiting sexual relationships with patients. Reference is made to the increasing knowledge of factors predisposing to such breaches of ethical conduct and to the common dangers and consequences of sexual relationships with patients. Such research findings demonstrate adequate cause for the application of the injunction in all of the health care professions. The modern social context of liberal humanism and feminism, along with the recognised analogy with child sexual abuse, are considered as influences in the current resurgence of interest in the injunction itself.

Ethics, Medical↗

Intersecting race and gender in feminist theories of women's psychological development.

Although self-in-relation theory is the predominant feminist position on women's psychological development in the nursing literature, other voices and views, particularly from feminists of color, have challenged the thinking about the psychology of women. This article explores the intersectionality of race and gender in feminist theories of women's psychological development and mental health. It begins with a brief review of psychoanalytic feminism, focusing primarily on the work of Chodorow and what is labeled "self-in-relation" theory as it has been applied in (primarily mental health) nursing. This is followed by a discussion of the perspectives of several feminists of color concerning women's psychological development, perspectives that both challenge and concur with the views of psychoanalytic feminists. The final section presents the implications of these various feminist perspectives (and their challenges to each other) for feminist work in mental health nursing.

Female↗

Disability, inclusion and the Christian Church: practice, paradox or promise.

In Western society, Christian Churches historically have been, and contemporarily are, involved with people perceived with disability. While they may practise biblical ethical imperatives such as care, compassion, mercy, support, welfare and charity, Churches have, paradoxically, only minimally offered cohesive or explicit moral notions for the 'inclusion' of people with disability in communities. Importantly, Churches have paid little attention to the historical construction of 'exclusion'. This paper proposes that matrices of patriarchal theology and patriarchal ethics continue to sustain structural positions of societal exclusion for people with disability because of implicit assumptions and values in the matrices about difference and different bodies. By examining a conjunction between feminism and disability around the issue of embodiment, the paper contends that 'inclusion' needs to be explored through the formation and embracing of matrices of feminist theology and feminist ethics.

Christianity↗

Teaching feminist group process within a nursing curriculum.

Nurse educators are challenged to develop emancipatory teaching approaches that will create opportunities for students to develop their own praxis. In particular, the authors faced the challenge of teaching feminist group process within a curriculum based on phenomenology, feminism, and critical social theory. In this article, we discuss the challenges and rewards of teaching nursing and other students about feminist process through the creation of experiential learning opportunities. In addition, we highlight recommendations based on our own praxis.

British Columbia↗

An oral history of Japanese nursing: voices of five senior nurses who have experienced nursing since the 1950s.

The history of nursing cannot be considered separately from the history of women. In this study the public history of nursing and women was re-explored via the lived voices of five senior nurses in Japan. An oral history method using in-depth interviewing for data collection was used. Contemporary Japanese women's social position was constantly influenced by government policies from an historically androcentric society. Nursing, as a predominately female occupation, has also struggled with its position in society and in the hospital system. Data were categorised into five themes through the nurses' stories and analysed using feminist liberal theory. Findings from the current study showed that various elements of unequal opportunity to participate in society were an outcome of this history. Nursing in Japan appears to have been socialised without a relationship to feminism. Experiences of the participants in this study indicate a demand for the liberation of nurses as women. These participants wished nurses in Japan to focus on professionalism with an attitude which is independent of past androcentric policies and historical social inequities. With such an autonomous attitude, directions for nursing in Japan become constructive.

Feminism↗

Contemporary theories and contemporary nursing--advancing nursing care for those who are marginalized.

This paper critiques the topic of postmodernism and how it is represented in nursing and social science literature. This critique classified the debates into three identifiable constructs, those being: dissatisfaction; fragmentation and integration. The authors propose a solution from the integration debate by putting forward the notion of an 'integrated postmodern turn'. The 'solution' is situated within feminism and draws on modernist and postmodernist theory. The integrated model is grounded in nursing clinical examples which demonstrate the usefulness and workability of this approach when caring for those who are marginalized by nurses because of their ethnicity, gender, cultural and/or spiritual beliefs.

Existentialism↗

What's really behind the attack on silicone breast implants.

Millions of dollars are being awarded by injuries and a major company has been forced into bankruptcy because of litigation over silicone breast implants. Yet scientific research hasn't established a link between the implants and disease, notes Marcia Angell, executive editor of the New England Journal of Medicine. When she began studying the issue, this self-described feminist and liberal Democrat expected to uncover iniquities of big business and the implant manufacturers. Instead, she's written an indictment of the tort system, junk science, and the gullibility of the news media. Attorneys have twisted facts and played on the emotions of juries, with the consent of judges and often to the cheers of the press. Angell worries that it's now become politically correct to bash the scientific method in the name of diversity, multiculturalism, and feminism.

Breast Implants↗

Does androgen insufficiency cause lacrimal gland inflammation and aqueous tear deficiency?

PURPOSE: The current investigators have shown that androgen treatment suppresses inflammation and stimulates the function of lacrimal glands in mouse models of Sjögren's syndrome. Recently, others have hypothesized that androgen insufficiency induces an autoimmune process in lacrimal tissue, leading to inflammation, a Sjögren's syndrome-like pathology, and aqueous tear deficiency. The purpose of the present study was to test this hypothesis. METHODS: Lacrimal glands were obtained from adult testicular feminized (Tfm) and control mice; castrated rats, guinea pigs, and rabbits; and castrated rats without anterior or whole pituitary glands and were processed for histology and image analysis. Tear volumes were measured in mice, in patients taking antiandrogen medications, and in age-matched human control subjects. RESULTS: Tfm mice, which are completely resistant to classical androgen action, did not have increased lymphocyte infiltration in their lacrimal glands or decreased tear volumes. No inflammation was evident in lacrimal tissues of male or female rats, guinea pigs, or rabbits 12 to 31 days after castration, no inflammation existed in rat lacrimal glands 15 to 31 days after orchiectomy and pituitary removal, and no aqueous tear deficiency was apparent in patients receiving antiandrogen therapy. CONCLUSIONS: Androgen deficiency may promote the progression of Sjögren's syndrome and its associated lacrimal gland inflammation, meibomian gland dysfunction, and severe dry eye. However, androgen insufficiency alone does not cause lacrimal gland inflammation, a Sjögren's syndrome-like pathology in lacrimal tissue, or aqueous tear deficiency in nonautoimmune animals and humans.

Aged↗

A feminist challenge to practices of medicine.

Susan Sherwin's No Longer Patient: Feminist Ethics and Health Care is a readable book that is accessible to a wide range of medical practitioners. It presupposes no prior training in ethics or feminism (and for just this reason, it may be somewhat less satisfying, although not necessarily less useful, for philosophers). The book is a feminist bioethics primer that introduces medical practitioners to issues that feminist theory makes prominent and that illuminate tensions in the structure and practice of medicine.

Abortion, Induced↗

[The competence of a female. Battle against the rise of the female dentist].

The refusal of the Dutch Dental Society in 1898 to admit three female dentists to their ranks, was the reason for a polemic. Two important male dentists both wrote a pamphlet considering the competence of women for the study and the practice of learned professions like dentistry. Moreover, they deliberated the value of study and practice for both women and society. The authors are strongly influenced by Social Darwinism and their arguments would now be described as male chauvinism. They admit that women could do the job as well as men, if only after a long evolution. But that evolution is not to be welcomed at all: the best attribute of woman (maternal love) would be frustrated and her highest task (child care) would not be fulfilled. Her femininity would disappear and the new 'man-woman' would not be desired by men, which would be detrimental to the institution of marriage. Already now, they argue, marriages are diminishing, lose quality and divorces are on the increase. They know the cause of all evil: feminism and the women's rights movements.

Clinical Competence↗

The presence of morphologically intermediate papilla syndrome in United Kingdom populations of sand goby (Pomatoschistus spp): endocrine disruption?

The sand goby (Pomatoschistus spp.) is a small estuarine fish. Its abundance, life history, and sedentary nature lead to its adoption as a key species in the U.K. Endocrine Disruption in the Marine Environment (EDMAR) Program. This study investigated the presence of classic markers of estrogenic exposure by determining vitellogenin (VTG) and zona radiata protein (ZRP) mRNA levels and ovotestis in estuarine-caught male gobies and investigated morphological changes in the urogenital papilla (UGP). Laboratory exposures to estrogens were also conducted to ascertain the responses of these markers. Wild-caught male fish showed no evidence of ovotestis, VTG, or ZRP mRNA induction. Laboratory exposures suggested that sensitivity of the goby to VTG/ ZRP mRNA induction was similar to flounder. The UGP inspection of wild-caught specimens revealed evidence of feminization of male papillae, a condition denoted as morphologically intermediate papilla syndrome (MIPS). Morphologically intermediate papilla syndrome was more prevalent at estrogenically contaminated sites. Juvenile goby experimentally exposed to 17beta-estradiol for 11 to 32 weeks exhibited signs of the MIPS condition, showing that it was inducible by estrogenic exposure and could therefore be a form of estrogenic endocrine disruption. The estuaries where the MIPS condition was most prevalent (>50% at certain sites) were the Tees, Mersey, and Clyde. The potential of the MIPS condition to significantly interfere with reproductive performance is discussed as well as its use as a monitoring tool for endocrine disruption in the estuarine environment.

Animals↗

[Corticosuprarenaloma in children].

Thirty-four cases of corticosurrenaloma with clinical onset before 15 years of age have been studied. Higher frequency in girls (65 percent of the cases) and in young age (80 percent before 5 years of age, 43 percent before 2 years), association with personal or familial other tumors and malformations, are noticeable features. Virilism is the major manifestation in children (83 percent of the cases), either isolated or associated with hypercortisolism and/or feminization. Hormonal assays are of little value, and the dynamic adrenal tests are of some help only in small tumors or isolated hypercortisolism. Radiological diagnosis by urography with cavography, arteriography, is easy in most cases. Evaluation of prognosis is very difficult. Clinical and biological data are not significant, histological data are often of little help. Only a very large mass, and occurrence of metastases (liver, lungs) evidence malignancy. This series does not allow to assess definitely the best therapeutic regimen. Surgery has to be performed as soon as possible. The effects of radiations have not yet been ascertained. High doses of op'DDD have led to a sustained remission of the tumor or metastases in 2 patients, and perhaps to a longer survival in 4 others.

17-Hydroxycorticosteroids↗

Sexual plasticity in fish: a possible target of endocrine disruptor action.

Various genetic and molecular approaches have been used to investigate the mechanisms of sex determination, gonadal sex differentiation, and sex change in fish. We identified, for the first time in nonmammalian vertebrates, DMY, as the sex-determining gene of medaka. In tilapia, endogenous estrogens act as the natural inducers of ovarian differentiation, while DMRT1 may be important for testicular differentiation. In the protogynous wrasse, a rapid decline in serum estradiol-17beta levels may be an initial trigger of the female-to-male sex change. Both sex steroids and endocrine disrupters do not seem to act at the level of the sex-determining gene, but during gonadal sex differentiation. The Japanese flounder exhibits temperature-dependent sex determination. Some of the estrogenic endocrine disrupters induce feminization of the flounder larvae reared at the masculinizing temperature. The actions of these sex steroids and endocrine disrupters may be mediated by the actions of somatic cells within gonads. Thus, sexual plasticity of gonads during sex differentiation may be implicated through the somatic cells within gonads. Cloning and sequencing of a number of genes that are considered to be associated with gonadal sex differentiation have been performed and some are still in progress. These molecular probes provide useful tools for understanding not only the molecular mechanisms of sex determination and gonadal sex differentiation but also provide important basic information for studying the effects of endocrine-disrupting chemicals during these periods.

Animals↗

The feminist approach in the decision-making process for treatment of women with breast cancer.

INTRODUCTION: The principal aim of this review was to investigate a feminist approach to the decision-making process for women with breast cancer. Empirical research into patient preferences for being informed about and participating in healthcare decisions has some limitations because it is mostly quantitative and designed within the dominant medical culture. Indigenous medical knowledge and alternative medical treatments are not widely accepted because of the lack of confirmed efficacy of such treatments in evidence-based literature. While discussing their treatment options with oncologists, women with breast cancer frequently express many concerns regarding treatment side effects, and sometimes decline conventional treatment when the risks are too high. METHODS: A search of all relevant literary sources, including Pub-Med, ERIC, Medline, and the Ontario Institute for Studies in Education at the University of Toronto was conducted. The key words for selection of the articles were "feminism," "decision-making," "patients preferences for treatment," and "breast cancer." RESULTS: Fifty-one literary sources were selected. The review was divided into the following themes: (1) limitations of the patient decision-making process in conventional medicine; (2) participation of native North American patients in healthcare decisions; (3) towards a feminist approach to breast cancer; and (4) towards a feminist theory of breast cancer. CONCLUSION: This article discusses the importance of a feminist approach to the decision-making process for treatment of patients with breast cancer. As the literature suggests, the needs of minority patients are not completely fulfilled in Western medical culture. Introducing feminist theory into evidence-based medicine will help patients to be better informed about treatment choices and will assist them to select treatment according to their own beliefs and values.

Breast Neoplasms↗