Murderer-Rapist Almost Euthanized in Belgium: Is the public outcry warranted?

Guest post by Jeff Kirby (Professor, Department of Bioethics, Faculty of Medicine, Dalhousie University). Many members of the international public were surprised and/or shocked to hear that Frank Van Den Bleeken, an incarcerated murderer-rapist, was scheduled to be euthanized in Belgium … Continue reading

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“Is the NHS failing women with autism?”

From The Guardian: Autism, characterised in the past as a result of an “extreme male brain”, is far more prevalent in women than previously thought but is still often untreated because the stereotype focuses on male behaviour; women, it is commonly believed, mask their … Continue reading

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Medication and Aging

There have been recent reports on the over-medicalization of older individuals in nursing homes and assisted living residences. This problem is not a new one. Just imagine: you are overworked and there is not enough staff to take care of … Continue reading

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The Health Benefits of Bullying?

A new study, published in the Proceedings of the National Academy of Sciences, has found that a child’s role in bullying (as either aggressor or victim) can have an impact on adult low-grade inflammation. Being a bully predicted lower levels … Continue reading

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Trigger Warnings in the Classroom?

A co-authored piece, “Trigger Warnings Are Flawed,” appeared in Inside Higher Ed earlier this year to explain how the movement to introduce trigger warnings into a classroom setting is already having a “chilling effect” on pedagogy. The authors proceed to … Continue reading

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Eating as Shameful: Food, Gender, Daily Life, and Media Messages

Why do women feel such shame about being seen to indulge, whether or not they are fat? Why do others take such glee in shaming them? Why does this extend even to non-indulgent foods?

I was recently at a social gathering of adults over the age of 25, the vast majority of whom hold PhDs and were academics. At this gathering, a male attendee speaking to a group of about seven people began to mock a pair of fat women he used to encounter who would walk together down the sidewalk briskly and clearly for exercise, and whom he would occasionally see end their walk at a fast food restaurant. He commented about the irony of this, and how much space they took up on the sidewalk which required him to get off the sidewalk to let them pass—as though this would not have been the case with two smaller women walking side by side—and connected this with their eating habits and fatness. Despite gentle pushback from myself and one other woman at the gathering, he doubled down on their rudeness and his shaming of them for eating at the fast food place despite the fact that he had no knowledge of their health other than their body size, no knowledge of what they ordered or ate at the fast food place, and was using them as an object of fun in an “amusing” party story. The raconteur fully expected everyone in his audience to share his attitude. And in many audiences, everyone would have.

This sort of shaming of fat people for eating is common. A “normal” sized man eating a hamburger with juices dripping down his chin and an expression of ecstasy may well be perceived as enjoying his food, but a larger man doing the same thing is likely to be perceived as a glutton.

But it goes far beyond shaming of fat people. Even skinny people, especially women, are often made to feel shame for what they eat. Just consider the standard stock photo of women eating salad joyfully. Or this image of model Barbara Palvin with food near her mouth, presented on a “thinspo” (thinsporation) blog critiquing Palvin for gaining weight (though not enough that her thighs actually touch). The phrase which introduces it is from the blog’s author, and is the way she herself introduced this image.

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The same blog also attacks Kate Upton for her curvy figure. For those who don’t follow such things, Upton was Sports Illustrated’s 2012 Swimsuit Issue Covergirl.  On a page called “Kate Upton is Well-Marbled”, Upton is routinely called a “cow” and the author bemoans what the fashion industry is coming to when Upton is representing the profession:

Look, I’ll admit – I love In’n’Out as much as the next gurl, but it’s not supposed to be an everyday thing, Kate! And we can be sure that Kate is the rare model who poses with food – and then actually devours it.

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Safeguarding Feminist Safe Spaces (A Response to Ally Boghun’s “Feminism and Anxiety”)

Read Boghun’s piece here. From puberty until the age of fifty, a girl or woman is twice as likely to suffer from an anxiety disorder as a boy or man. In addition, women are more likely than men to have … Continue reading

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Involuntary Treatment of the Mentally Ill

recent story in Mother Jones highlights the issue of the decrease in psychiatric beds nationwide, reductions in support for the severely mentally ill, and the terrible price paid by both the severely mentally ill and their families. Several times in the article McClelland refers to E. Fuller Torrey’s arguments that in addition to funding services for the severely mentally ill, states also need to change involuntary commitment laws to make committing people against their will depend on things in addition to imminent dangerousness. These issues take on a new salience with the recent mass murders perpetrated by people believed to be psychotic at the time of the murders, and often previously diagnosed with serious mental illness, and with the responses in the media that call for curtailing the rights of the mentally ill.

From a feminist bioethical perspective I find this issue quite perplexing. On the one hand, severely mentally ill women are often left to live on the streets where they are victims of sexual violence and live in deplorable conditions. Yet at least in some cases they choose this over available treatment and other assistance, including assistance from loved ones. Some severely mentally ill women and many severely mentally men end up in prison, which is more and more becoming the primary treatment locus for the severely mentally ill. Also of concern is that some mentally ill people are violent, most often towards family members, and in particular towards their mothers. Yet under the current system family members have no recourse until violence is perpetrated, and that recourse is typically, in the first instance, to involve law enforcement. Mothers and other family members of severely mentally ill adult children still love these adult children and recognize that they will likely end up on the streets without the care of their families. Yet at the same time they are afraid of their sometimes-violent adult children and are left with nowhere to turn for help.

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DSM Lacks Scientific Basis

Thomas R. Insel, M.D., Director of the National Institute of Mental Health, declares that the DSM 5 lacks scientific basis. The world’s largest funding agency for research into mental health will no longer fund projects that depend exclusively on DSM … Continue reading

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Dan Markingson: a study in research misconduct

As someone who has worked in research ethics for many years, I feel that I have a pretty good understanding of how and where things go wrong in the research ethics review process. Such a process can never be perfect … Continue reading

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Transitions in Law: What Struggles Over Policy Changes Affecting Transgender Persons Reveal

The State of California recently banned discrimination against transgender patients in the provision of health insurance.  It was only the third state to do so. Lack of access to health care is common for transgender persons.  Reasons include—but are not limited to—fear of encountering stigma, employment discrimination which limits access to health insurance, and insurance providers refusing to cover medically necessary care.

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In the state of Missouri, 5% of transgender adults report that they were refused EMT care, 13% report that they were refused Emergency Room care, and 24% report that they were refused care in a doctor’s office.  The context of California’s policy change is thus one of serious health disparities for transgender patients and constitutes a step forward in public policy including transgender folks in our moral community and giving credence to their health care needs.

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Weight Loss and the Mentally Ill

A common reason that those suffering from serious mental illness are “noncompliant” with medication is the side effect of weight gain. Of those who stay on their medication, weight gain can be the most distressing side effect. According to the National Institutes of Health, mentally ill people are 50% more likely to be overweight/obese than the general population. Weight gain has significant negative health implications and is one reason why on average mentally ill people die younger than non-mentally ill people.

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