The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each (...) value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness. (shrink)

In this collection, the editors again bring together papers that either exemplify the crossing of disciplinary boundaries, or that allow us to do so in and through the conversations they create. The chapters were chosen based on their relevance to similar themes as were discussed in the first volume. By reviewing historical developments in the literature around gender and organization, and by drawing on recent scholarship that disrupts the traditional masculine imaginaries that plague leadership constructs, this book challenges us to (...) radically revise our gendered thinking about leading in organizations. The authors included in this volume offer alternative, interdisciplinary perspectives on the gender constructs that inform the organizing that takes place in business and society. The book delves deeply into how ‘relationality’, as concept and practice, can help us frame a more inclusive approach to gender within contemporary organizations. (shrink)

Charles Taylor and Michel Foucault offer two very different descriptions and analyses of modern identities. While it can be argued that Taylor and Foucault are thematizing two very different aspects of identity — Taylor is focusing on first-person, subjective, affirmed identity, and Foucault is focusing on third-person, or ascribed, category identity — in practice, these two are very much intertwined. I argue that attention to identities of race, gender, class and sexual orientation demands that we combine a Foucauldian power analysis (...) with a Taylorean understanding of authenticity. Taking Nancy Fraser's and Linda Gordon's example of the `single black mother on welfare' as the `icon of dependency' in America and Charles Taylor's example of the `householder' who understands himself in relation to an ideal of independence, I show that neither individual can develop either self-knowledge or freedom without engaging in a quest for authenticity that involves both analysis of relations of power and identification with resistant identities. This requires moving beyond both Taylor and Foucault to an understanding of identity in terms of critical relations with defining communities. Key Words: authenticity • critique • Michel Foucault • freedom • identity • meaning • power • self-knowledge • social being • Charles Taylor. (shrink)

In a comment on my paper "Feminism, Ethics, and the Question of Theory", Keith Burgess-Jackson argues that I have misdiagnosed the problem with modern moral theory. Burgess-Jackson misunderstands both the illustrative-"theoretical-juridical"-model I constructed there and how my critique and alternative model answer to specifically feminist concerns. Ironically, his own view seems to reproduce the very conception of morality as an individually internalized action-guiding code of principles that my earlier essay argued is the conception central to modern moral theories.

: This article critically examines the constitution of impairment in prenatal testing and screening practices and various discourses that surround these technologies. While technologies to test and screen prenatally are claimed to enhance women's capacity to be self-determining, make informed reproductive choices, and, in effect, wrest control of their bodies from a patriarchal medical establishment, I contend that this emerging relation between pregnant women and reproductive technologies is a new strategy of a form of power that began to emerge in (...) the late eighteenth century. Indeed, my argument is that the constitution of prenatal impairment, by and through these practices and procedures, is a widening form of modern government that increasingly limits the field of possible conduct in response to pregnancy. Hence, the government of impairment in utero is inextricably intertwined with the government of the maternal body. (shrink)

In this article I explore the multiple and at times conflicting public health and folk discourses which shape breast-feeding practices in Punata, Bolivia. I examine why women may cease to breast-feed despite active efforts made by the healthcare system to promote breast-feeding. Breast-feeding practices are saturated with meaning and circumscribed by time and economic constraints as well as numerous cultural factors. These include conceptualizations of the body, emotions and illnesses that affect infants who are breast-fed, as well as constructions of (...) the mother–infant bond and attitudes about what constitutes ‘good mothering’ and its relationship to gender and class expectations. In this locality, the emotions of lactating women are said to find release through their breast milk and are seen to cause illness in their breast-feeding infants. I explore how mothers accepted, challenged or contested such views, and how they negotiated the politics of blame that emerged regarding who was at fault for their infant's illnesses. I demonstrate how breast-feeding is an embodied experience intrinsically linked to ideas about motherhood and show how the deployment of blame for these illnesses can strategically obfuscate or shed light on the numerous social and economic constraints under which women may find themselves. (shrink)

This article is an exploration of the ways in which maternal subjectivity is negotiated and defined in the context of the act or process of giving birth. As such, it is offered as a contribution to and discussion of recent feminist evaluation of childbirth management systems. Written from the partial perspective of my own experiences of pregnant and maternal embodiment, the article considers whether the ethic of the birth plan is a satisfactory representation of consumer needs and participation in contemporary (...) maternity care. By way of a selective personal account of various models of consumer-orientated and woman-centred childbirth management services that exist in Australia and New Zealand, I draw on ideas from feminist theories of corporeality and the dialogical tradition of social thought in order to rethink the ethical encounter between the labouring woman or consumer and her care provider or practitioner. (shrink)

This article examines how one of the most striking differences between the central doctrines of the Catholic Church and the secular context of Swedish society, attitudes to abortion, is managed by the Swedish church hierarchy and commentators in the official newsletter of the Catholic Church of Sweden. Using Foucauldian concepts of power, the article concludes that in its marginal position, the Catholic Church in Sweden mixes the traditional pastoral and sovereign power of the church with the way pastoral power is (...) exerted in modern society, in its efforts to continue asserting its influence over the possible courses of action for pregnant women. While traditionally abortion has been a woman’s crime, in the Swedish Catholic context it becomes rather the crime of the secular society. This means also that the image of woman as being responsible for her decisions and in need of forgiveness gives way to an image of woman as a victim in need of understanding. (shrink)

Foucault's work has had a profound impact on the medical humanities over the last decade or so. However, most work to date has focused on Foucault's earlier writings rather than his later contributions on the self and governmentality. This article assesses the significance of the concept of governmentality for critical scholarship in the medical humanities, particularly in creating ethical awareness in the field of health care. It examines the context for Foucault's later work, and contributions arising from scholarship building on (...) this work. The governmentality literature, it is argued, raises novel questions about the ways we have come to think about health care in late modern societies. However, there are some limitations with this body of work which have not been fully acknowledged by scholars. The article discusses some of these limitations and offers some suggestions for a fruitful way forward. (shrink)

: The article shows that Michel Foucault's account of the sexual body is not a naïve return to a prediscursive body, nor does it amount to discourse reductionism and to the exclusion of experience, as some feminists have argued. Instead, Foucault's idea of bodies and pleasures as a possibility of the counterattack against normalizing power presupposes an experiential understanding of the body. The experiential body can become a locus of resistance because it is the possibility of an unpredictable event.

The article shows that Michel Foucault's account of the sexual body is not a naive return to a prediscursive body, nor does it amount to discourse reductionism and to the exclusion of experience, as some feminists have argued. Instead, Foucault's idea of bodies and pleasures as a possibility of the counterattack against normalizing power presupposes an experiential understanding of the body. The experiential body can become a locus of resistance because it is the possibility of an unpredictable event.

This essay attempts a deliberately perverse interpretation of the new reproductive practices (e.g., contract pregnancy, in vitro fertilization, etc.) in an effort to rethink maternal subjectivity and the bodies that might accompany it.

This article draws on Foucault's concept of the exercise of power and Gramsci's concept of hegemony to examine how women used cosmetic surgery to exercise power over their bodies and lives. The analysis is rooted in two feminist perspectives on cosmetic surgery. The first argues that women who elect to have their bodies surgically altered are victims of false consciousness whose bodies are disciplined by the hegemonic male gaze. The second asserts that women who undergo elective cosmetic surgery exercise free (...) choice in controlling their bodies and lives. By examining sites wherein power is exercised by and over women, the authors argue for a synthesis of these two perspectives. They find that the women achieved greater power and control over their bodies and lives when they embodied hegemonic ideals of feminine beauty. Cosmetic surgery can be empowering for individual women while reinforcing the hegemonic ideals that oppress women as a group. (shrink)

Corporate social responsibility (CSR) has been hailed as a new means to address gender inequality, particularly by facilitating women’s empowerment. Women are frequently and forcefully positioned as saviours of economies or communities and proponents of sustainability. Using vignettes drawn from a CSR women’s empowerment programme in Ghana, this conceptual article explores unexpected programme outcomes enacted by women managers and farmers. It is argued that a feminist Foucauldian reading of power as relational and productive can help explain this since those involved (...) are engaged in ongoing processes of resistance and self-making. This raises questions about the assumptions made about ‘women’ and what is it that such CSR programmes aim to ‘empower’ them ‘from’ or ‘to’.Empowerment, when viewed as an ethic of care for the Self, is better understood as a self-directed process, rather than a corporate-led strategy. This has implications for how we can imagine the achievement of gender equality through CSR. (shrink)

This article explores how the Portuguese legal system’s efforts to determine paternity of children born outside legal marriage, automatically initiated by the Registry Office when a birth registration does not indicate the father, reveal cultural models which reinforce the naturalisation of the differences between mothers and fathers, with significant effects on the social construction of parental roles and on expectations of family organisation and female sexual behaviour. The article relies on ethnographic data drawn from direct observation of court proceedings for (...) the determination of paternity, as well as interviews with judges and prosecuting counsels all over the country. It is argued that judicial practices in the specific context of courtroom investigations of paternity reinforce gender inequalities in two interrelated ways. On the one hand, they are strengthened in the discursive practices performed during the course of the interactions between judges, prosecuting counsels and the mother of the child, as well as the alleged father. On the other hand, the normative model of family life and the dominant ideology of women’s and men’s relationships, which emphasise women’s socially subordinate position, are revealed by the selective use of DNA testing in paternity cases, based on the judge’s evaluation of the mother’s sexual behaviour. The article argues that legal attempts to establish the paternity of children born outside marriage—though based on novel technical and supposedly objective procedures—tend, nevertheless, to reproduce the prevailing patriarchal structures. (shrink)

This essay critiques feminist treatments of maternal-fetal "relationality" that unwittingly replicate features of Western individualism (for example, the Cartesian division between the asocial body and the social-cognitive person, or the conflation of social and biological birth). I argue for a more reflexive perspective on relationality that would acknowledge how we produce persons through our actions and rhetoric. Personhood and relationality can be better analyzed as dynamic, negotiated qualities realized through social practice.

This paper argues that cyborg perspectives offer real possibilities for the debate around enforced caesareans and the search for a language to encompass embodied maternal subjectivity. It is suggested, with reference to the fictional narrative of Star Trek, that cyborg figures have the power to disrupt the liberal subject and the body in legal discourse, not least because the plethora of cyborgs challenges simple conceptions of connections/disconnections between bodies. Feminist readings of case law relating to enforced caesarean sections have raised (...) questions about the notion of autonomy at the heart of liberal legalism, have argued that law is complicit with white male techno-medicine's approach to childbirth and focused upon the pregnant woman's lived experience of pregnancy. The recent Court of Appeal decision in St George's Healthcare N.H.S Trust v. S., Regina v. Collins and Others, ex parte S., where the pregnant woman's self-determination was upheld, provides a good opportunity to confront both the liberal story and the idea of connectedness between mother and unborn child. (shrink)

By reading the analyses of mysticism found in Beauvoir and Irigaray with and against some medieval women's mystical texts, the paper articulates a possible space for the divine within feminist thought.

In several lectures, interviews and essays from the early 1980s, Michel Foucault startlingly argues that he is engaged in a kind of critical work that is similar to that of Immanuel Kant. Given Foucault's criticisms of Kantian and Enlightenment emphases on universal truths and values, his declaration that his work is Kantian seems paradoxical. I agree with some commentators who argue that this is a way for Foucault to publicly acknowledge to his critics that he is not, as some of (...) them charge, attempting a total critique of Enlightenment beliefs and values, but is instead attempting to transform them from within. I argue further that Foucault's self-professed Kantianism can also productively be read as a means of encouraging change in his intellectual audience, a call to courage to take up the thread of Enlightenment thought that Foucault finds in Kant's essay, `What is Enlightenment?': that of directing one's philosophical efforts towards questioning and transforming one's own present in its historical specificity, for the sake of promoting the values of freedom and autonomy therein. Though much of Kant's philosophical work is focused on that which lies outside of history, Foucault locates in some of it a concern for what is happening here and now that, I argue, he encourages his audience to take up for themselves through tracing his own intellectual lineage to Kant. In so doing, he encourages contemporary philosophers to consider the value and effects of their work on the present social and political contexts in which they live. (shrink)

This article places Foucault 's 1977 suggestions regarding the reform of French rape law in the context of ongoing feminist debates as to whether rape should be considered a sex crime or a species of assault. When viewed as a disciplinary matrix with both physical and discursive effects, rape and the rape trial clearly contribute to the "hysterization" of women by cultivating complainants' confessions in order to demonstrate their supposed lack of self-knowledge.

This article places Foucault's 1977 suggestions regarding the reform of French rape law in the context of ongoing feminist debates as to whether rape should be considered a sex crime or a species of assault. When viewed as a disciplinary matrix with both physical and discursive effects, rape and the rape trial clearly contribute to the “hysterization” of women by cultivating complainants' confessions in order to demonstrate their supposed lack of self-knowledge.

This article evaluates the usefulness of the concept of hegemony in theorizing men. The discussion is located within the framework of ‘Critical Studies on Men’ (CSM), in which the centrality of power issues is recognized, rather than that of ‘Men’s Studies’, where it is frequently not. Recent uses, as in ‘hegemonic masculinity’ in the analysis of masculinities, are subjected to a qualified critique. Instead a shift is proposed from masculinity to men, to focus on ‘the hegemony of men’. This formulation (...) seeks to address the double complexity that men are both a social category formed by the gender system and collective and individual agents, often dominant collective and individual agents, of social practices. This is explored mainly in relation to substantive studies on men, and briefly the institutional development of CSM. The concluding discussion examines how these arguments connect with debates in feminist theory and social theory. (shrink)

Ron Harris captured the popular imagination in October 1999 with a website where he auctioned off the ova of fashion models to the highest bidder. This article treats the controversy surrounding Harris’ site within a dual frame of critical theory’s approach to reproduction and a folkloristic approach to discourse. The website fuses traditional narrative motifs and structures with the logic of advertising, seventies television, family-values rhetoric, and the fertility industry. I argue that the great attraction of ronsangels.com is that it (...) put into relief the intervention of mechanical reproduction in human fertility together with the state of genetics at the turn of the 21st century. The result is not only a disconcerting aestheticization and commodification of biological reproduction, but also the biological reproduction of a particular aesthetic and moral code—a generation of reality by model. (shrink)

This article explores the relationality between women’s bodies and selfies on NSFW (Not Safe For Work) tumblr blogs. We consider the way selfie practices engage with normative, ageist and sexist assumptions of the wider culture in order to understand how specific ways of looking become possible. Women’s experiences of their bodies change through interactions, sense of community and taking and sharing selfies. This article provides an empirical elaboration on what sexy selfies are and do by analysing interviews, selfies and blog (...) content of nine women in the NSFW self-shooters community on tumblr. For our participants, self-shooting is an engaged, self-affirmative and awareness raising pursuit, where their body, through critically self-aware self-care, emerges as agentic, sexual and distinctly female. Thus, this is a reading of selfies as a practice of freedom. (shrink)

From the feminist ‘sex wars’ of the 1980s to the queer theory and politics of the 1990s, debates about the politics of sexuality have been at the forefront of contemporary theoretical, social, and political demands. This article seeks to intervene in these debates by challenging the terms through which they have been defined. Investigating the importance of ‘sex positivity’ and transgression as conceptual features of feminist and queer discourses, this essay calls for a new focus on the political and material (...) effects of pro-sexuality. (shrink)

This article uses a discourse analytic perspective to analyse sex and relationship advice in a best-selling women’s magazine. It identifies three different interpretative repertoires which together structure constructions of sexual relationships: the intimate entrepreneurship repertoire, organized around plans, goals and the scientific management of relationships; men-ology, in which women are instructed in how to learn to please men; and transforming the self, which calls on women to remodel their interior lives in order to construct a desirable subjectivity. The article considers (...) each repertoire in turn, and also looks at how they work together in order to privilege men and heterosexuality. Discussion focuses in particular on the postfeminist nature of the advice, in which pre-feminist, feminist and anti-feminist ideas are entangled in such a way as to make gender ideologies more pernicious and difficult to contest. (shrink)

In debates over abortion, the foetus and the woman have been continually positioned as antagonists. Given the stakes involved in such debates about personal integrity, individual responsibility, life and death, it is no wonder that many radical feminist authors have concentrated on refocusing the attention on women and away from the disembodied foetus. Such writers have worked hard to decode and deconstruct the public foetus in our midst and have mobilized interpretative tools such as cultural criticism to contextualize the production (...) and consumption of foetal images. Barbara Duden's book, The Public Foetus, is an important and interesting contribution to this effort, which is still taken up by authors writing in this field. Duden's strategy is to seek to remind us (and in particular those who are involved in reproductive medicine) that pregnancy is concentrated in the embedded pregnant woman rather than the disembodied ‘public foetus’ and she attempts to retrieve the embodied woman as the site of pregnancy through what Michaels has termed a ‘fetal disappearing act’. While this may create as many problems for women as it resolves, I would argue that, while the ‘public foetus’ continues to loom large in the politics of abortion and women's positions in relation to the new reproductive technologies remain contested, Duden's work remains important in the continuing debate about how women's reproductive freedom can be continually re-negotiated and re-established. (shrink)

This paper provides an overview of twenty years of feminist philosophy in Northamerica. The professionalization of feminist theory that has occurred through the mainstreaming of feminist philosophy creates a danger of a gap between theory and practice that creates the danger of co-optation. Three stages of feminist philosophizing are outlined, including the radical critique, gender difference and difference/post-modernist stages. The last stage, it is argued, leads to an conceptual impasse about feminist strategies for social change.

: Even as feminist analyses have contributed in important ways to discussions of how gender is raced and race is gendered, there has been little in the way of comparative analysis of the specific mechanisms that are at work in the production of each. Feder argues that in Michel Foucault's analytics of power we find tools to understand the reproduction of whiteness as a complex interaction of distinctive expressions of power associated with these categories of difference.

Even as feminist analyses have contributed in important ways to discussions of how gender is raced and race is gendered, there has been little in the way of comparative analysis of the specific mechanisms that are at work in the production of each. Feder argues that in Michel Foucault's analytics of power we find tools to understand the reproduction of whiteness as a complex interaction of distinctive expressions of power associated with these categories of difference.

This article is based on interviews with a small number of cohabitants who are critical of conventional marriage. It examines some of the ways in which the distinction between heterosexual cohabitation and marriage is rendered in the New Zealand context. Culturally available distinctions, like that between cohabitation and marriage, are used in the production of resistant counterdiscourses. However, difference can be rewritten as deviance and in this form is central to the exercise of disciplinary power. Contextual shifts in the assertion (...) of a cohabitational self and a marital self contribute to the blurring of the distinction, further exposing the dilemmas of resistance based on difference. (shrink)

Accounts of mothering have both contributed to feminist theory's development and depended on certain of its central concepts. Some of its critics, however, argue that feminist theory is undermined by the problems of exclusion and essentialism. Here I distinguish between these two problems and consider their implications for questions about mothering. I conclude that exclusion and essentialism do not present insurmountable obstacles to theorizing motherhood, but do suggest new directions for such theorizing.

The purpose of this paper is to show that the standard notion of informed choice is unacceptable and must be replaced. To do so, I examine Foucault's analysis of people in contemporary society, drawing attention to the ways power relations act upon us, and to the possibility of resistance. I show how feminist moral theory can be enriched by Foucault's analysis. Applying this new understanding of people and moral theory to an analysis of informed choice, I claim that the standard (...) notion of informed choice is unacceptable, in part because it relies on a false conception of people. Its “necessary” features—intention, understanding, and absence of controlling influences—are much more difficult, if not impossible, to obtain than proponents of the standard notion believe. I end by offering direction for creating a new, Foucault-inspired, feminist theory of informed choice. (shrink)

This article argues that there is a lack of theorizing about sexuality within social policy in what is referred to as the mainstream and more surprisingly within feminist social policy. This is particularly surprising given the presence of sexuality in recent as well as past social policies as well as in social theory. The purpose of this article is not merely to argue that a relationship between sexuality and social policy should be examined but rather to explore and outline the (...) specific nature of the relationship and its implications for both sexuality and the discipline of social policy. Specifically, how do prevalent sexuality discourses inform and constitute social policy and what are the social relations involved in this process? Correspondingly, what role does social policy play in constituting what we know to be the ‘truths’ of sexuality? What exclusions and inclusions result from these dominant social relations and discourses when ‘played’ through social policy? That sexuality has failed to be analytically incorporated within the discipline of social policy is addressed. First, reasons for the lack of theorizing are explored. Specifically, the historical development of the discipline and the formation of an implicit consensus about what constitute the real concerns of welfare. Second, there is an examination of the ways feminist social policy has or has not engaged with sexuality. The final section posits an emergent framework for integrating sexuality into social policy analyses and critiques. (shrink)

In 1977, Michel Foucault suggested that legal approaches to rape define it as merely an act of violence, not of sexuality, and therefore not distinct from other types of assaults. I argue that rape can not be considered merely an act of violence because it is instrumental in the construction of the distinctly feminine body. Insofar as the threat of rape is ineluctably, although not determinately, associated with the development of feminine bodily comportment, rape itself holds a host of bodily (...) and sexually specific meanings. (shrink)

This paper presents an empirical model for researching women’s self and social identities. The model was devised as a theoretical and methodological framework to assist the author to recognize self-identity and social identity in single women’s narratives of their lives. Self-identity is understood as our own sense of ourselves as persons while social identity is categorizations of us by others. For those interested in researching the consequences of strong ideologies on women’s identities, or for recognizing resistance and understanding the development (...) of new conceptions of womanhood, an empirical model which focuses our research attention on the self-identity of individual women is helpful. (shrink)

Foucault rejette la dissociation entre savoir et pouvoir, il la renverse même en insistant sur leur interaction. On examine d'abord en quoi consiste la conception foucaldienne du pouvoir. On illustre ensuite les fluctuations du philosophe français concernant les rapports entre savoir et pouvoir. Puis on propose une relecture de "L'histoire de la sexualité" comme exemple privilégié de savoir-pouvoir, un savoir-pouvoir non seulement "du" sexe, mais aussi "de" sexe, c'est-à-dire "reflétant le point de vue particulier des hommes sur la sexualité, à (...) l'exclusion de celui des femmes. Cette perspective permet de remettre en cause la conception foucaldienne du pouvoir. (shrink)

This paper discusses some problems with the field of educational studies and considers the role of post-structuralist theory in shifting the study of education away from a 'technical rationalist' approach towards an 'intellectual intelligence' stance that stresses contingency, disidentification and risk-taking.