Alle Publikationen
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2018
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(2018) : From modern sexism to gender microaggressions. Understanding contemporary forms of sexism and their influence on diverse women In: Travis, Cheryl B.; White, Jacquelyn W.; Rutherford, Alexandra; Williams, Wendi S.; Cook, Sarah L.; Wyche, Karen Fraser (Hg.): APA handbook of the psychology of women: History, theory, and battlegrounds (Vol. 1): Washington: American Psychological Association, S. 381-397
DOI: https://doi.org/10.1037/0000059-019 Abstract: Sexism can operate on both an overt, conscious level and a subtle, unconscious level (Sue, 2010). Swim and Hyers (2009) defined sexism as 'individuals’ attitudes, beliefs, and behaviors, and organizational, institutional, and cultural practices that either reflect negative evaluations of individuals based on their gender or support unequal status of women and men' (p. 407). Some examples of overt manifestations of sexism include sexual harassment, domestic violence, and discriminatory hiring practices. Similar to other overt forms of discrimination, overt sexism is often less accepted in contemporary society. Thus, many well-intentioned men may hold sexist views about women that are outside their conscious awareness. These subtle forms of sexism can often have a negative effect on women (Sue, 2010). For example, research has indicated that women’s experiences with subtle, everyday forms of sexist discrimination are related to negative mental health outcomes, such as p sycholog ical distress, depression, and anxiety (Moradi & Subich, 2002, 2003). To contextualize the literature on sexism, I introduce a psychosocial model of sexism, which illustrates the ways in which patriarchy is the foundation for various expressions of sexism that have a negative impact on women. Then, I highlight five primary areas of theory and research on contemporary sexism: (a) modern sexism, (b) ambivalent sexism, (c) perceived sexist discrimination, (d) everyday sexism, and (e) gender microaggressions. Given the growing body of research on the deleterious impact of sexism on a range of physical and mental health outcomes for women, this selected literature review focuses on research that highlights the impact of subtle sexism on women’s mental and physical health. This chapter also highlights intersectionality theory and research on contemporary forms of sexism that have focused on intersections of race, sexual orientation, and social class. This chapter ends with direc tions fo r future research on subtle forms of sexism and gender microaggressions, with a particular focus on moving the field of feminist psychology forward in centering an intersectional analysis in the psychological study of women to better understand the experiences of diverse women on the basis of race, ethnicity, sexual orientation, and social class. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
2014
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(2014): Recommendations for the ethical use and design of artificial intelligent care providers. In: Artificial Intelligence in Medicine 62 (1), S. 1-10. DOI: 10.1016/j.artmed.2014.06.004
DOI: https://doi.org/10.1016/j.artmed.2014.06.004 Abstract: Objective This paper identifies and reviews ethical issues associated with artificial intelligent care providers (AICPs) in mental health care and other helping professions. Specific recommendations are made for the development of ethical codes, guidelines, and the design of AICPs. Methods Current developments in the application of AICPs and associated technologies are reviewed and a foundational overview of applicable ethical principles in mental health care is provided. Emerging ethical issues regarding the use of AICPs are then reviewed in detail. Recommendations for ethical codes and guidelines as well as for the development of semi-autonomous and autonomous AICP systems are described. The benefits of AICPs and implications for the helping professions are discussed in order to weigh the pros and cons of their use. Results Existing ethics codes and practice guidelines do not presently consider the current or the future use of interactive artificial intelligent agents to assist and to potentially replace mental health care professionals. AICPs present new ethical issues that will have significant ramifications for the mental health care and other helping professions. Primary issues involve the therapeutic relationship, competence, liability, trust, privacy, and patient safety. Many of the same ethical and philosophical considerations are applicable to use and design of AICPs in medicine, nursing, social work, education, and ministry. Conclusion The ethical and moral aspects regarding the use of AICP systems must be well thought-out today as this will help to guide the use and development of these systems in the future. Topics presented are relevant to end users, AI developers, and researchers, as well as policy makers and regulatory boards.
2010
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(2010): Mental health care and the politics of inclusion. A social systems account of psychiatric deinstitutionalization. In: Theoretical medicine and bioethics 31 (6), S. 411-427. DOI: 10.1007/s11017-010-9155-8
DOI: http://www.ncbi.nlm.nih.gov/pubmed/20711755 Abstract: This paper provides an interpretation, based on the social systems theory of German sociologist Niklas Luhmann, of the recent paradigmatic shift of mental health care from an asylum-based model to a community-oriented network of services. The observed shift is described as the development of psychiatry as a function system of modern society and whose operative goal has moved from the medical and social management of a lower and marginalized group to the specialized medical and psychological care of the whole population. From this theoretical viewpoint, the wider deployment of the modern social order as a functionally differentiated system may be considered to be a consistent driving force for this process; it has made asylum psychiatry overly incompatible with prevailing social values (particularly with the normative and regulative principle of inclusion of all individuals in the different functional spheres of society and with the common patterns of participation in modern function systems) and has, in turn, required the availability of psychiatric care for a growing number of individuals. After presenting this account, some major challenges for the future of mental health care provision, such as the overburdening of services or the overt exclusion of a significant group of potential users, are identified and briefly discussed.
Keywords: Bioethics,, Community Mental Health Services/organization & administration, Deinstitutionalization, Diskriminierung, Ethik, Fehlverhalten, Gesellschaftsprofit, Health Services Accessibility, Hospitals, Psychiatric, Humans, Medizin, Mental Disorders, Mental Health, Pathologie, Patient Care Team, Pflege, Politics, Psychiatry/trends, social systems, ethics, Social Values, Soziale Ordnung, Spain, systems theory, Werte 2006
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(2006): Idiocy in Virginia, 1616-1860. In: BULLETIN OF THE HISTORY OF MEDICINE 80 (4), S. 677-701
Abstract: Like the English, Virginians tended to think that idiocy, a condition analogous to intellectual disability in the twenty-first century, was congenital, untreatable, and incurable, and they adopted legal remedies that corresponded closely to the laws of England. In addition, concepts of idiocy reflected some of the unique aspects of Virginia's social system, which was dominated by a coterie of powerful men. With a need to preserve social order and maintain decorum, the Virginia legislature established in 1769 the Eastern State Hospital to house unruly and objectionable people who were mentally disabled. Although idiots were among the hospital's first patients, they were eventually banished due to their presumed failure to respond to treatment. The social stigma attached to idiocy extended from Virginia's city streets and jails to the private homes of prominent families. Personal reticence regarding shameful family matters hid the identity of people thought to be intellectually disabled. Even Thomas Jefferson, a prolific author, entered only cryptic notes about the limitations of his sister, Elizabeth. In summary, Virginians' response to idiocy suggests a two-tiered approach: public disclosure and disdain of poor and dependent people with intellectual disabilities, and silent avoidance of the problem in prominent families. In both situations, idiocy represented images of shame and humiliation that threatened the social order.
Keywords: Beeinflussung sozial angemessenen Verhaltens, Beispiel, chemisch / neurologisch / medikamentös / durch Substanzen, decorum, Diskriminierung, Fehlverhalten, Geschichte, Gesellschaftsprofit, "idiocy", Medizin, Mental Health, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Soziale Ordnung, Sozialer Raum / Kultureller Kontext
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