Development and Retrospective Review of a Pediatric Ethics Consultation Service at a Large Academic Center.Brian D. Leland,Lucia D. Wocial,Kurt Drury,Courtney M.Rowan,Paul R. Helft &Alexia M. Torke -2020 -HEC Forum 32 (3):269-281.detailsThe primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, with (...) the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)
Urban agriculture, social capital, and food security in the Kibera slums of Nairobi, Kenya.Courtney M. Gallaher,John M. Kerr,Mary Njenga,Nancy K. Karanja &Antoinette M. G. A. WinklerPrins -2013 -Agriculture and Human Values 30 (3):389-404.detailsMuch of the developing world, including Kenya, is rapidly urbanizing. Rising food and fuel prices in recent years have put the food security of the urban poor in a precarious position. In cities worldwide, urban agriculture helps some poor people gain access to food, but urban agriculture is less common in densely populated slums that lack space. In the Kibera slums of Nairobi, Kenya, households have recently begun a new form of urban agriculture called sack gardening in which vegetables such (...) as kale and Swiss chard are planted into large sacks filled with topsoil. This paper examines relationships among sack gardening, social capital, and food security in Kibera. We used a mixed methods approach, combining qualitative interviews with a household survey, as well as focus group discussions with both farmers and non-farmers. We present evidence that sack gardening increases social capital, especially for those households that undertake sack gardening in groups. We also find that sack gardening in the Kibera slums has a positive impact on household food security by improving household dietary diversity and by reducing the need to resort to painful coping mechanisms that are used during food shortages. (shrink)
The Case for Phasing Out Experiments on Primates.Kathleen M. Conlee &Andrew N.Rowan -2012 -Hastings Center Report 42 (s1):31-34.detailsWhether they realize it or not, most stakeholders in the debate about using animals for research agree on the common goal of seeking an end to research that causes animals harm. The central issues in the controversy are about how much effort should be devoted to that goal and when we might reasonably expect to achieve it. Some progress has already been made: The number of animals used for research is about half what it was in the 1970s, and biomedical (...) research has reached the point where we can reasonably begin to envision a time when it could advance without causing harm to animals. With some effort and aggressive development of new biomedical research technologies, full replacement of animals in harmful research is within our grasp. The goal will not be reached all at once, however, and phasing out invasive research on all nonhuman primates should be the priority. (shrink)
Much Ado About Nothing: Unmotivating "Gender Identity".E. M. Hernandez &Rowan Bell -forthcoming -Ergo: An Open Access Journal of Philosophy.detailsRecently, the concept of "gender identity" has enjoyed a great deal of attention in gender metaphysics. This seems to be motivated by the goal of creating trans-inclusive theory, by explaining trans people's genders. In this paper, we aim to unmotivate this project. Notions of "gender identity" serve important pragmatic purposes for trans people, such as satisfying the curiosity of non-trans people, and, relatedly, securing our access to important goods like legal rights and medical care. However, we argue that this does (...) not mean that "gender identity" is a metaphysically substantial thing that deserves extensive theoretical attention. There are reasons to be skeptical of such a concept. We trace the history of "gender identity," primarily to identify its roots in trans-antagonistic medical theory and its connections to the problematic "wrong-body" model--a legacy that has pathologized and flattened trans experience. Moreover, we argue that trans people primarily use "gender identity" to explain ourselves to non-trans people, rather than to discuss ourselves among ourselves. Thus, we urge theorists to resist the urge to substantiate gender identity. Instead, we encourage the development of new and better concepts, ones that attend to the lived realities of trans community and the flourishing gender terms and practices that are constructed there. If these lived realities are taken seriously, there is no need to “explain” trans people’s genders; we can simply see them as they are. (shrink)
Affective Determinants of Physical Activity: A Conceptual Framework and Narrative Review.Courtney J. Stevens,Austin S. Baldwin,Angela D. Bryan,Mark Conner,Ryan E. Rhodes &David M. Williams -2020 -Frontiers in Psychology 11.detailsThe literature on affective determinants of physical activity is growing rapidly. The present paper aims to provide greater clarity regarding the definition and distinctions among the various affect-related constructs that have been examined in relation to PA. Affective constructs are organized according to the Affect and Health Behavior Framework, including: affective response to PA; incidental affect; affect processing; and affectively charged motivational states. After defining each category of affective construct, we provide examples of relevant research showing how each construct may (...) relate to PA behavior. We conclude each section with a discussion of future directions for research. (shrink)
The Slippery Slope of Prenatal Testing for Social Traits.Courtney Canter,Kathleen Foley,Shawneequa L. Callier,Karen M. Meagher,Margaret Waltz,Aurora Washington,R. Jean Cadigan,Anya E. R. Prince &the Beyond the Medical R01 Research Team -2023 -American Journal of Bioethics 23 (3):36-38.detailsBowman-Smart et al. (2023) argue for a framework to examine the ethical issues associated with genetic screening for non-medical traits in the context of noninvasive prenatal testing (NIPT). Such s...
Toward a more domain-specific conceptualization of female traits: A commentary on Benenson et al.Courtney L. Crosby,Rebecka K. Hahnel-Peeters &David M. Buss -2022 -Behavioral and Brain Sciences 45.detailsBenenson et al. amass impressive evidence of robust sex differences as support for expanding “staying alive” theory. We argue for a broader and more domain-specific conceptualization focusing on life history tradeoffs between survival and mating success. Using three examples – women's disgust, fear of rape, and cultivation of bodyguards – we illustrate these tradeoffs and suggest a broader theoretical framework.
Linear Versus Branching Depictions of Evolutionary History: Implications for Diagram Design.Laura R. Novick,Courtney K. Shade &Kefyn M. Catley -2011 -Topics in Cognitive Science 3 (3):536-559.detailsThis article reports the results of an experiment involving 108 college students with varying backgrounds in biology. Subjects answered questions about the evolutionary history of sets of hominid and equine taxa. Each set of taxa was presented in one of three diagrammatic formats: a noncladogenic diagram found in a contemporary biology textbook or a cladogram in either the ladder or tree format. As predicted, the textbook diagrams, which contained linear components, were more likely than the cladogram formats to yield explanations (...) of speciation as an anagenic process, a common misconception among students. In contrast, the branching cladogram formats yielded more appropriate explanations concerning levels of ancestry than did the textbook diagrams. Although students with stronger backgrounds in biology did better than those with weaker biology backgrounds, they generally showed the same effects of diagrammatic format. Implications of these results for evolution education and for diagram design more generally are discussed. (shrink)
Authorship Policies at U.S. Doctoral Universities: A Review and Recommendations for Future Policies.Lisa M. Rasmussen,Courtney E. Williams,Mary M. Hausfeld,George C. Banks &Bailey C. Davis -2020 -Science and Engineering Ethics 26 (6):3393-3413.detailsIntellectual contribution in the form of authorship is a fundamental component of the academic career. While research has addressed questionable and harmful authorship practices, there has largely been no discussion of how U.S. academic institutions interpret and potentially mitigate such practices through the use of institution-level authorship policies. To gain a better understanding of the role of U.S. academic institutions in authorship practices, we conducted a systematic review of publicly available authorship policies for U.S. doctoral institutions, focusing on components such (...) as specification of authorship criteria, recommendations for discussing authorship, dispute resolution processes, and guidance for faculty-student collaborations. We found that only 24% of the 266 Carnegie R1 and R2 Universities had publicly available authorship policies. Within these policies, the majority specified criteria for authorship, but provided less guidance about actual processes for applying such criteria, handling authorship disputes, and managing faculty-student author teams. Further, we found that any discussion of dispute resolution practices typically lacked specificity. Recommendations grounded in these findings are offered for institutions to leverage their ability to guide the authorship process by adopting an authorship policy that acknowledges disciplinary diversity while still offering substantive guidance. (shrink)
Naturally confused: consumers' perceptions of all-natural and organic pork products. [REVIEW]Katie M. Abrams,Courtney A. Meyers &Tracy A. Irani -2010 -Agriculture and Human Values 27 (3):365-374.detailsConsumers are bombarded with labels and claims that are intended to address their concerns about how food products are produced, processed, and regulated. Among those are the natural or all-natural claims and the certified organic label. In this study, two focus groups were conducted to explore consumers’ attitudes toward all-natural and organic pork and to gather their reactions to the USDA organic standards for meat, and the policy for natural claims. Results indicated that participants had positive associations with the terms (...) “organic” and “all-natural” with exceptions regarding the trustworthiness of all-natural claims. Participants perceived the “no” labeling theme (no antibiotics, no hormones, no chemicals, etc.) often coupled with the all-natural label on pork products as identifying potential health and animal welfare risks. In response to the USDA standards and policies for labeling pork products as organic or all-natural, participants expressed confusion and had many unanswered questions. (shrink)
Demystifying Eukaryote Lateral Gene Transfer.Michelle M. Leger,Laura Eme,Courtney W. Stairs &Andrew J. Roger -2018 -Bioessays 40 (5):1700242.detailsIn a recent BioEssays paper [W. F. Martin, BioEssays 2017, 39, 1700115], William Martin sharply criticizes evolutionary interpretations that involve lateral gene transfer into eukaryotic genomes. Most published examples of LGTs in eukaryotes, he suggests, are in fact contaminants, ancestral genes that have been lost from other extant lineages, or the result of artefactual phylogenetic inferences. Martin argues that, except for transfers that occurred from endosymbiotic organelles, eukaryote LGT is insignificant. Here, in reviewing this field, we seek to correct some (...) of the misconceptions presented therein with regard to the evidence for LGT in eukaryotes. A recent paper dismisses claims of lateral gene transfer into eukaryotic genomes. We counter the arguments made in that paper and discuss the extensive evidence for LGT in eukaryotes. (shrink)
Is There a Legacy of the U.S. Public Health Syphilis Study at Tuskegee in HIV/AIDS-Related Beliefs Among Heterosexual African Americans and Latinos?Vickie M. Mays,Courtney N. Coles &Susan D. Cochran -2012 -Ethics and Behavior 22 (6):461-471.detailsThe Tuskegee Syphilis Study is often cited as a major reason for low research participation rates among racial/ethnic minorities. We use data from a random-digit-dial telephone survey of 510 African Americans and 253 Latinos drawn from low income Los Angeles neighborhoods to investigate associations between knowledge of the study and endorsement of HIV/aids conspiracy theories. Results indicate African Americans were significantly more likely than Latinos to endorse HIV/aids conspiracy theories and were more aware of the study. Nevertheless, few Americans and (...) Latinos had ever heard of Syphilis Study suggesting that awareness is not a major factor in low participation rates. (shrink)
Consideration and Disclosure of Group Risks in Genomics and Other Data-Centric Research: Does the Common Rule Need Revision?Carolyn Riley Chapman,Gwendolyn P. Quinn,Heini M. Natri,Courtney Berrios,Patrick Dwyer,Kellie Owens,Síofra Heraty &Arthur L. Caplan -2023 -American Journal of Bioethics 25 (2):47-60.detailsHarms and risks to groups and third-parties can be significant in the context of research, particularly in data-centric studies involving genomic, artificial intelligence, and/or machine learning technologies. This article explores whether and how United States federal regulations should be adapted to better align with current ethical thinking and protect group interests. Three aspects of the Common Rule deserve attention and reconsideration with respect to group interests: institutional review board (IRB) assessment of the risks/benefits of research; disclosure requirements in the informed (...) consent process; and criteria for waivers of informed consent. In accordance with respect for persons and communities, investigators and IRBs should systematically consider potential group harm when designing and reviewing protocols, respectively. Research participants should be informed about any potential group harm in the consent process. We call for additional public discussion, empirical research, and normative analysis on these issues to determine the right regulatory and policy path forward. (shrink)
Consideration and Disclosure of Group Risks in Genomics and Other Data-Centric Research: Does the Common Rule Need Revision?Carolyn Riley Chapman,Gwendolyn P. Quinn,Heini M. Natri,Courtney Berrios,Patrick Dwyer,Kellie Owens,Síofra Heraty &Arthur L. Caplan -2023 -American Journal of Bioethics 25 (2):47-60.detailsHarms and risks to groups and third-parties can be significant in the context of research, particularly in data-centric studies involving genomic, artificial intelligence, and/or machine learning technologies. This article explores whether and how United States federal regulations should be adapted to better align with current ethical thinking and protect group interests. Three aspects of the Common Rule deserve attention and reconsideration with respect to group interests: institutional review board (IRB) assessment of the risks/benefits of research; disclosure requirements in the informed (...) consent process; and criteria for waivers of informed consent. In accordance with respect for persons and communities, investigators and IRBs should systematically consider potential group harm when designing and reviewing protocols, respectively. Research participants should be informed about any potential group harm in the consent process. We call for additional public discussion, empirical research, and normative analysis on these issues to determine the right regulatory and policy path forward. (shrink)
Cingulate and thalamic metabolites in obsessive-compulsive disorder.Joseph O'Neill,Tsz M. Lai,Courtney Sheen,Giulia C. Salgari,Ronald Ly,Casey Armstrong,Susanna Chang,Jennifer G. Levitt,Noriko Salamon,Jeffry R. Alger &Jamie D. Feusner -unknowndetailsFocal brain metabolic effects detected by proton magnetic resonance spectroscopy (MRS) in obsessive-compulsive disorder (OCD) represent prospective indices of clinical status and guides to treatment design. Sampling bilateral pregenual anterior cingulate cortex (pACC), anterior middle cingulate cortex (aMCC), and thalamus in 40 adult patients and 16 healthy controls, we examined relationships of the neurometabolites glutamate+glutamine (Glx), creatine+phosphocreatine (Cr), and choline-compounds (Cho) with OCD diagnosis and multiple symptom types. The latter included OC core symptoms (Yale-Brown Obsessive-Compulsive Scale - YBOCS), depressive symptoms (...) (Montgomery-Åsberg Depression Rating Scale - MADRS), and general functioning (Global Assessment Scale - GAS). pACC Glx was 9.7% higher in patients than controls. Within patients, Cr and Cho correlated negatively with YBOCS and MADRS, while Cr correlated positively with the GAS. In aMCC, Cr and Cho correlated negatively with MADRS, while Cr in thalamus correlated positively with GAS. These findings present moderate support for glutamatergic and cingulocentric perspectives on OCD. Based on our prior metabolic model of OCD, we offer one possible interpretation of these group and correlational effects as consequences of a corticothalamic state of elevated glutamatergic receptor activity alongside below-normal glutamatergic transporter activity. (shrink)
No categories
Consideration and Disclosure of Group Risks in Genomics and Other Data-Centric Research: Does the Common Rule Need Revision?Carolyn Riley Chapman,Gwendolyn P. Quinn,Heini M. Natri,Courtney Berrios,Patrick Dwyer,Kellie Owens,Síofra Heraty &Arthur L. Caplan -2023 -American Journal of Bioethics 25 (2):47-60.detailsHarms and risks to groups and third-parties can be significant in the context of research, particularly in data-centric studies involving genomic, artificial intelligence, and/or machine learning technologies. This article explores whether and how United States federal regulations should be adapted to better align with current ethical thinking and protect group interests. Three aspects of the Common Rule deserve attention and reconsideration with respect to group interests: institutional review board (IRB) assessment of the risks/benefits of research; disclosure requirements in the informed (...) consent process; and criteria for waivers of informed consent. In accordance with respect for persons and communities, investigators and IRBs should systematically consider potential group harm when designing and reviewing protocols, respectively. Research participants should be informed about any potential group harm in the consent process. We call for additional public discussion, empirical research, and normative analysis on these issues to determine the right regulatory and policy path forward. (shrink)
Arousal, working memory, and conscious awareness in contingency learning☆.Louise D. Cosand,Thomas M. Cavanagh,Ashley A. Brown,Christopher G.Courtney,Anthony J. Rissling,Anne M. Schell &Michael E. Dawson -2008 -Consciousness and Cognition 17 (4):1105-1113.detailsThere are wide individual differences in the ability to detect a stimulus contingency embedded in a complex paradigm. The present study used a cognitive masking paradigm to better understand individual differences related to contingency learning. Participants were assessed on measures of electrodermal arousal and on working memory capacity before engaging in the contingency learning task. Contingency awareness was assessed both by trial-by-trial verbal reports obtained during the task and by a short post-task recognition questionnaire. Participants who became aware had fewer (...) non-specific skin conductance responses and tended to score higher on a digit span assessment. Skin conductance level was not significantly lower in the aware group than in the unaware group. These findings are consistent with studies showing that lower arousal and greater cognitive processing capacity facilitate conscious perception of a greater breadth of information within a scene or a task. (shrink)
Parallax: Witnessing Theory: Volume 10, Number 1.Rowan Bailey,Nicholas Chare &Peter Kilroy (eds.) -2004 - Routledge.details_Parallax_ is an international, peer-reviewed journal that aims towards a critical engagement with the production of culture and knowledge. The journal explores a wide range of cultural practices, reconfiguring the production and understanding of culture as well as the relation between theory and practice itself. This text brings together scholars from a number of different theoretical backgrounds to consider the ethical and political processes involved in witnessing, and the possible limits of theory in some situations. Contributors include J.M. Bernstein, Kelly (...) Oliver, Griselda Pollock, Laurence Rickels, Avital Ronell and Hayden White. (shrink)
No categories
The re‐discovery of contemplation through science: A response to Tom M c leish.Rowan Williams -2021 -Zygon 56 (3):777-781.detailsThis is a response to Tom McLeish's Boyle Lecture 2021 on the rediscovery of contemplation through science. Several implications are sketched: no single mind can encompass fully what there is to be known; we are likely to be unaware of the full range of what it is that is acting upon us or informing us at any given moment; and the universe that we encounter is a system of interaction and implication in which nothing is simply passive or lifeless.
Wanted, but Elusive: Clear Solutions for Addressing Potential Group Harm in Data-Centric Research.Carolyn Riley Chapman,Patrick Dwyer,Kellie Owens,Courtney Berrios,Heini M. Natri,Arthur L. Caplan &Gwendolyn P. Quinn -2025 -American Journal of Bioethics 25 (4):1-4.detailsWe are very grateful for the thoughtful and constructive open peer commentaries and editorial on our recent Target Article, “Consideration and Disclosure of Group Risks in Genomics and Other Data-C...
Risk and protective factors for mental ill-health in elite para- and non-para athletes.Lisa S. Olive,Simon M. Rice,Caroline Gao,Vita Pilkington,Courtney C. Walton,Matt Butterworth,Lyndel Abbott,Gemma Cross,Matti Clements &Rosemary Purcell -2022 -Frontiers in Psychology 13.detailsObjectiveTo apply a socioecological approach to identify risk and protective factors across levels of the “sports-ecosystem,” which are associated with mental health outcomes among athletes in para-sports and non-para sports. A further aim is to determine whether para athletes have unique risks and protective factor profiles compared to non-para athletes.MethodsA cross-sectional, anonymous online-survey was provided to all categorized athletes aged 16 years and older, registered with the Australian Institute of Sport. Mental health outcomes included mental health symptoms, general psychological distress, (...) risky alcohol consumption and eating disorder risk. Risk and protective factors across multiple levels of the socioecological model, including individual, microsystem, exosystem and macrosystem level factors were assessed via self-report.ResultsA total of 427 elite athletes participated in the study. No significant differences in the rates of mental health problems were observed between para and non-para athletes. Both differences and similarities in risk and protective factor profiles were found across the multiple levels of the sports-ecosystem. Weak evidence was also found to support the hypothesis that certain risk factors, including experiencing two or more adverse life events in the past year, sports related concussion, high self-stigma, inadequate social support and low psychological safety conferred a greater risk for poorer mental health outcomes for para athletes in particular.ConclusionRisk factors occurring across various levels of the sports ecosystem, including individual, interpersonal and organizational level risk factors were found to be associated with a range of poorer mental health outcomes. The association between mental ill-health and certain risk factors, particularly those at the individual and microsystem level, appear to be greater for para athletes. These findings have important implications for policy and mental health service provision in elite sports settings, highlighting the need for more nuanced approaches to subpopulations, and the delivery of mental health interventions across all levels of the sports ecosystem. (shrink)
Modulation of Peak Alpha Frequency Oscillations During Working Memory Is Greater in Females Than Males.Tara R. Ghazi,Kara J. Blacker,Thomas T. Hinault &Susan M.Courtney -2021 -Frontiers in Human Neuroscience 15.detailsPeak alpha frequency is known to vary not just between individuals, but also within an individual over time. While variance in this metric between individuals has been tied to working memory performance, less understood are how short timescale modulations of peak alpha frequency during task performance may facilitate behavior. This gap in understanding may be bridged by consideration of a key difference between individuals: sex. Inconsistent findings in the literature regarding the relationship between peak alpha frequency and cognitive performance, as (...) well as known sex-related-differences in peak alpha frequency and its modulation motivated our hypothesis that cognitive and neural processes underlying working memory—modulation of peak alpha frequency in particular—may differ based upon sex. Targeting sex as a predictive factor, we analyzed the EEG data of participants recorded while they performed four versions of a visual spatial working memory task. A significant difference between groups was present: females modulated peak alpha frequency more than males. Task performance did not differ by sex, yet a relationship between accuracy and peak alpha frequency was present in males, but not in females. These findings highlight the importance of considering sex as a factor in the study of oscillatory activity, particularly to further understanding of the neural mechanisms that underlie working memory. (shrink)
Information Processing Biases in the Brain: Implications for Decision-Making and Self-Governance.Anthony W. Sali,Brian A. Anderson &Susan M.Courtney -2016 -Neuroethics 11 (3):259-271.detailsTo make behavioral choices that are in line with our goals and our moral beliefs, we need to gather and consider information about our current situation. Most information present in our environment is not relevant to the choices we need or would want to make and thus could interfere with our ability to behave in ways that reflect our underlying values. Certain sources of information could even lead us to make choices we later regret, and thus it would be beneficial (...) to be able to ignore that information. Our ability to exert successful self-governance depends on our ability to attend to sources of information that we deem important to our decision-making processes. We generally assume that, at any moment, we have the ability to choose what we pay attention to. However, recent research indicates that what we pay attention to is influenced by our prior experiences, including reward history and past successes and failures, even when we are not aware of this history. Even momentary distractions can cause us to miss or discount information that should have a greater influence on our decisions given our values. Such biases in attention thus raise questions about the degree to which the choices that we make may be poorly informed and not truly reflect our ability to otherwise exert self-governance. (shrink)
Major Trends in Public Health Law and Practice: A Network National Report.James G. Hodge,Leila Barraza,Jennifer Bernstein,Courtney Chu,Veda Collmer,Corey Davis,Megan M. Griest,Monica S. Hammer,Jill Krueger,Kerri McGowan Lowrey &Daniel G. Orenstein -2013 -Journal of Law, Medicine and Ethics 41 (3):737-745.detailsPublic health law research reveals significant complexities underlying the use of law as an effective tool to improve health outcomes across populations. The challenges of applying public health law in practice are no easier. Attorneys, public health officials, and diverse partners in the public and private sectors collaborate on the front lines to forge pathways to advance population health through law. Meeting this objective amidst competing interests requires strong practice skills to shift through sensitive and sometimes urgent calls for action (...) to address known threats to the health of individuals and the community. It also necessitates objective, timely information and national and regional legal support. (shrink)