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Emily Freilich

Why It's 'Ukraine,' Not 'the Ukraine' | TIME.com - 0 views

  • It’s likely that any Ukrainian Americans tuned to C-SPAN at that particular moment cringed, not at the prospect of the country’s salvation coming from Congress’s bipartisan expressions — unsettling though that thought may be — but from three little letters: the.
  • “Ukraine is a country,”
  • “The Ukraine is the way the Russians referred to that part of the country during Soviet times … Now that it is a country, a nation, and a recognized state, it is just Ukrain
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  • rankle people from a nation that became independent in 1991 and is now fighting to maintain stable autonomy as Russian boots step onto their so
  • “It kind of denies their independence, denies their sovereignty.”
  • dropping it sends an important message, especially among world leaders, because “the Russians don’t really, in their gut, accept that there’s an independent Ukraine.”
Javier E

Lawyers With Lowest Pay Report More Happiness - NYTimes.com - 0 views

  • Researchers who surveyed 6,200 lawyers about their jobs and health found that the factors most frequently associated with success in the legal field, such as high income or a partner-track job at a prestigious firm, had almost zero correlation with happiness and well-being. However, lawyers in public-service jobs who made the least money, like public defenders or Legal Aid attorneys, were most likely to report being happy.
  • the two groups reported about equal overall satisfaction with their lives.
  • The problem with the more prestigious jobs, said Mr. Krieger, is that they do not provide feelings of competence, autonomy or connection to others
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  • A landmark Johns Hopkins study in 1990 found that lawyers were 3.6 times as likely as non-lawyers to suffer from depression, putting them at greater risk than people in any other occupation. In December, Yale Law School released a study that said 70 percent of its students were affected by mental health issues.
  • From 1999 to 2007, lawyers were 54 percent more likely to commit suicide than people in other profession
  • the job requires an unhealthy degree of cynicism. “Research shows that an optimistic outlook is good for your mental health,” said Patricia Spataro, director of the New York State Lawyer Assistance Program, a resource for attorneys with mental health concerns. “But lawyers are trained to always look for the worst-case scenario. They benefit more from being pessimistic, and that takes a toll.”
  • the pressure to be hired by a big-name firm is so strongly ingrained in law school culture, one George Washington University student said, that even those who enroll with the intention of performing public service often find themselves redirected.
  • “It’s a very real pressure in law school,” Helen Clemens, the law student, said. “It comes from all kinds of avenues, but mostly I would say it just comes from the people surrounding you. If everyone is talking about leaders from our school who have gotten jobs at a really prestigious firm, the assumption is that we all should be trying to work at a similar place.”
charlottedonoho

Inbox Zero vs. Inbox 5,000: A Unified Theory - The Atlantic - 0 views

  • This has led me to a theory that there are two types of emailers in the world: Those who can comfortably ignore unread notifications, and those who feel the need to take action immediately.
  • Gloria Mark, a professor of informatics at University of California, Irvine, has explored just this sort of question. A few years ago, she ran a study in which office workers were cut off from using email for one workweek and were equipped with heart-rate monitors; on average, going cold turkey significantly reduced their stress levels.
  • After interviewing several people about their relationship with email, Mark has noticed that, for some people, email is an extension of autonomy—it's about having control.
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  • “It takes people on average about 25 minutes to reorient back to a task when they get interrupted,” she says. Yes, that includes even brief interruptions, like dashing off a quick response to an email, and it often takes so long to get back on task because the project you start doing after handling an email often isn’t the same as the one you were already doing.
  • I happen to like Mark’s theory, but I also think there’s another urge that fuels the nagging feeling that comes with unread messages: Immediately reading and archiving incoming emails is just like checking a box on a to-do list and clearing out unread stories in an RSS feed. In other words, the appeal of these behaviors lies in the illusion of progress that they foster.
  • Jamie Madigan, a psychologist who writes about video games, thinks the arrival of a notification might be similar to the accrual of virtual loot. Email, in other words, might not be just a task, but a game.
Javier E

Regulating Sex - The New York Times - 0 views

  • THIS is a strange moment for sex in America. We’ve detached it from pregnancy, matrimony and, in some circles, romance. At least, we no longer assume that intercourse signals the start of a relationship.
  • But the more casual sex becomes, the more we demand that our institutions and government police the line between what’s consensual and what isn’t. And we wonder how to define rape. Is it a violent assault or a violation of personal autonomy? Is a person guilty of sexual misconduct if he fails to get a clear “yes” through every step of seduction and consummation?
  • According to the doctrine of affirmative consent — the “yes means yes” rule — the answer is, well, yes, he is.
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  • if one person can think he’s hooking up while the other feels she’s being raped, it makes sense to have a law that eliminates the possibility of misunderstanding. “You shouldn’t be allowed to make the assumption that if you find someone lying on a bed, they’re free for sexual pleasure,”
  • About a quarter of all states, and the District of Columbia, now say sex isn’t legal without positive agreement,
  • And though most people think of “yes means yes” as strictly for college students, it is actually poised to become the law of the land.
  • But criminal law is a very powerful instrument for reshaping sexual mores.
  • Should we really put people in jail for not doing what most people aren’t doing? (Or at least, not yet?)
  • It’s one thing to teach college students to talk frankly about sex and not to have it without demonstrable pre-coital assent. Colleges are entitled to uphold their own standards of comportment, even if enforcement of that behavior is spotty or indifferent to the rights of the accused. It’s another thing to make sex a crime under conditions of poor communication.
  • Most people just aren’t very talkative during the delicate tango that precedes sex, and the re-education required to make them more forthcoming would be a very big project. Nor are people unerringly good at decoding sexual signals. If they were, we wouldn’t have romantic comedies.
  • “If there’s no social consensus about what the lines are,” says Nancy Gertner, a senior lecturer at Harvard Law School and a retired judge, then affirmative consent “has no business being in the criminal law.”
  • The example points to a trend evident both on campuses and in courts: the criminalization of what we think of as ordinary sex and of sex previously considered unsavory but not illegal.
  • Some new crimes outlined in the proposed code, for example, assume consent to be meaningless under conditions of unequal power. Consensual sex between professionals (therapists, lawyers and the like) and their patients and clients, for instance, would be a fourth-degree felony, punishable by significant time in prison.
  • most of these occupations already have codes of professional conduct, and victims also have recourse in the civil courts. Miscreants, she says, “should be drummed out of the profession or sued for malpractice.”
  • It’s important to remember that people convicted of sex crimes may not only go to jail, they can wind up on a sex-offender registry, with dire and lasting consequences.
  • We shouldn’t forget the harm done to American communities by the national passion for incarceration, either. In a letter to the American Law Institute, Ms. Smith listed several disturbing statistics: roughly one person in 100 behind bars, one in 31 under correctional supervision
  • the case for affirmative consent is “compelling,” he says. Mr. Schulhofer has argued that being raped is much worse than having to endure that awkward moment when one stops to confirm that one’s partner is happy to continue. Silence or inertia, often interpreted as agreement, may actually reflect confusion, drunkenness or “frozen fright,” a documented physiological response in which a person under sexual threat is paralyzed by terror
  • To critics who object that millions of people are having sex without getting unqualified assent and aren’t likely to change their ways, he’d reply that millions of people drive 65 miles per hour despite a 55-mile-per-hour speed limit, but the law still saves lives. As long as “people know what the rules of the road are,” he says, “the overwhelming majority will comply with them.”
  • He understands that the law will have to bring a light touch to the refashioning of sexual norms, which is why the current draft of the model code suggests classifying penetration without consent as a misdemeanor, a much lesser crime than a felony.
  • This may all sound reasonable, but even a misdemeanor conviction goes on the record as a sexual offense and can lead to registration
  • An affirmative consent standard also shifts the burden of proof from the accuser to the accused, which represents a real departure from the traditions of criminal law in the United States. Affirmative consent effectively means that the accused has to show that he got the go-ahead
  • if the law requires a “no,” then the jury will likely perceive any uncertainty about that “no” as a weakness in the prosecution’s case and not convict. But if the law requires a “yes,” then ambiguity will bolster the prosecutor’s argument: The guy didn’t get unequivocal consent, therefore he must be guilty of rape.
  • “It’s an unworkable standard,” says the Harvard law professor Jeannie C. Suk. “It’s only workable if we assume it’s not going to be enforced, by and large.” But that’s worrisome too. Selectively enforced laws have a nasty history of being used to harass people deemed to be undesirable, because of their politics, race or other reasons.
  • it’s probably just a matter of time before “yes means yes” becomes the law in most states. Ms. Suk told me that she and her colleagues have noticed a generational divide between them and their students. As undergraduates, they’re learning affirmative consent in their mandatory sexual-respect training sessions, and they come to “believe that this really is the best way to define consent, as positive agreement,” she says. When they graduate and enter the legal profession, they’ll probably reshape the law to reflect that belief.
  • Sex may become safer for some, but it will be a whole lot more anxiety-producing for others.
Javier E

The Structure of Gratitude - The New York Times - 0 views

  • Most people feel grateful some of the time — after someone saves you from a mistake or brings you food during an illness. But some people seem grateful dispositionally. They seem thankful practically all of the time.
  • As most people get on in life and earn more status, they often get used to more respect and nicer treatment. But people with dispositional gratitude take nothing for granted. They take a beginner’s thrill at a word of praise, at another’s good performance or at each sunny day. These people are present-minded and hyperresponsive.
  • This kind of dispositional gratitude is worth dissecting because it induces a mentality that stands in counterbalance to the mainstream threads of our culture.
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  • We live in a capitalist meritocracy. This meritocracy encourages people to be self-sufficient — masters of their own fate.
  • But people with dispositional gratitude are hyperaware of their continual dependence on others. They treasure the way they have been fashioned by parents, friends and ancestors who were in some ways their superiors. They’re glad the ideal of individual autonomy is an illusion because if they were relying on themselves they’d be much worse off.
  • The basic logic of the capitalist meritocracy is that you get what you pay for, that you earn what you deserve.
  • But people with dispositional gratitude are continually struck by the fact that they are given far more than they pay for — and are much richer than they deserve. Their families, schools and summer camps put far more into them than they give back. There’s a lot of surplus goodness in daily life that can’t be explained by the logic of equal exchange.
  • Capitalism encourages us to see human beings as self-interested, utility-maximizing creatures.
  • But people with grateful dispositions are attuned to the gift economy where people are motivated by sympathy as well as self-interest. In the gift economy intention matters. We’re grateful to people who tried to do us favors even when those favors didn’t work out. In the gift economy imaginative empathy matters. We’re grateful because some people showed they care about us more than we thought they did. We’re grateful when others took an imaginative leap and put themselves in our mind, even with no benefit to themselves.
  • Gratitude is also a form of social glue. In the capitalist economy, debt is to be repaid to the lender. But a debt of gratitude is repaid forward, to another person who also doesn’t deserve it.
  • each gift ripples outward and yokes circles of people in bonds of affection. It reminds us that a society isn’t just a contract based on mutual benefit, but an organic connection based on natural sympathy — connections that are nurtured not by self-interest but by loyalty and service.
  • If you think that human nature is good and powerful, then you go around frustrated because the perfect society has not yet been achieved
  • But if you go through life believing that our reason is not that great, our individual skills are not that impressive, and our goodness is severely mottled, then you’re sort of amazed life has managed to be as sweet as it is. You’re grateful for all the institutions our ancestors gave us, like the Constitution and our customs, which shape us to be better than we’d otherwise be. Appreciation becomes the first political virtue and the need to perfect the gifts of others is the first political task.
  • We live in a capitalist meritocracy that encourages individualism and utilitarianism, ambition and pride.
  • But this society would fall apart if not for another economy, one in which gifts surpass expectations, in which insufficiency is acknowledged and dependence celebrated.
  • People with grateful dispositions see their efforts grandly but not themselves. Life doesn’t surpass their dreams but it nicely surpasses their expectations.
Javier E

Teachers - Will We Ever Learn? - NYTimes.com - 0 views

  • America’s overall performance in K-12 education remains stubbornly mediocre.
  • The debate over school reform has become a false polarization
  • teaching is a complex activity that is hard to direct and improve from afar. The factory model is appropriate to simple work that is easy to standardize; it is ill suited to disciplines like teaching that require considerable skill and discretion.
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  • In the nations that lead the international rankings — Singapore, Japan, South Korea, Finland, Canada — teachers are drawn from the top third of college graduates, rather than the bottom 60 percent as is the case in the United States. Training in these countries is more rigorous, more tied to classroom practice and more often financed by the government than in America. There are also many fewer teacher-training institutions, with much higher standards.
  • By these criteria, American education is a failed profession. There is no widely agreed-upon knowledge base, training is brief or nonexistent, the criteria for passing licensing exams are much lower than in other fields, and there is little continuous professional guidance. It is not surprising, then, that researchers find wide variation in teaching skills across classrooms; in the absence of a system devoted to developing consistent expertise, we have teachers essentially winging it as they go along, with predictably uneven results.
  • Teaching requires a professional model, like we have in medicine, law, engineering, accounting, architecture and many other fields. In these professions, consistency of quality is created less by holding individual practitioners accountable and more by building a body of knowledge, carefully training people in that knowledge, requiring them to show expertise before they become licensed, and then using their professions’ standards to guide their work.
  • Teachers in leading nations’ schools also teach much less than ours do. High school teachers provide 1,080 hours per year of instruction in America, compared with fewer than 600 in South Korea and Japan, where the balance of teachers’ time is spent collaboratively on developing and refining lesson plans
  • These countries also have much stronger welfare states; by providing more support for students’ social, psychological and physical needs, they make it easier for teachers to focus on their academic needs.
  • hese elements create a virtuous cycle: strong academic performance leads to schools with greater autonomy and more public financing, which in turn makes education an attractive profession for talented people.
  • In America, both major teachers’ unions and the organization representing state education officials have, in the past year, called for raising the bar for entering teachers; one of the unions, the American Federation of Teachers, advocates a “bar exam.”
  • Ideally the exam should not be a one-time paper-and-pencil test, like legal bar exams, but a phased set of milestones to be attained over the first few years of teaching. Akin to medical boards, they would require prospective teachers to demonstrate subject and pedagogical knowledge — as well as actual teaching skill.
  • We let doctors operate, pilots fly, and engineers build because their fields have developed effective ways of certifying that they can do these things. Teaching, on the whole, lacks this specialized knowledge base; teachers teach based mostly on what they have picked up from experience and from their colleagues.
  • other fields spend 5 percent to 15 percent of their budgets on research and development, while in education, it is around 0.25 percent
  • Education-school researchers publish for fellow academics; teachers develop practical knowledge but do not evaluate or share it; commercial curriculum designers make what districts and states will buy, with little regard for quality.
  • Early- to mid-career teachers need time to collaborate and explore new directions — having mastered the basics, this is the stage when they can refine their skills. The system should reward master teachers with salaries commensurate with leading professionals in other fields.
  • research suggests that the labels don’t matter — there are good and bad programs of all types, including university-based ones. The best programs draw people who majored as undergraduates in the subjects they wanted to teach; focus on extensive clinical practice rather than on classroom theory; are selective in choosing their applicants rather than treating students as a revenue stream; and use data about how their students fare as teachers to assess and revise their practice.
Javier E

Worries About Success Can Make You Successful - Economic View - NYTimes.com - 0 views

  • In recent decades, behavioral economics has been the economics profession’s runaway growth area. Scholars in this field work largely at the intersection of economics and psychology, and much of their attention has focused on systematic biases in people’s judgments and decisions.
  • Paradoxically, our prediction errors often lead us to choices that are wisest in hindsight. In such cases, evolutionary biology often provides a clearer guide than cognitive psychology for thinking about why people behave as they do.
  • the brain has evolved not to make us happy, but to motivate actions that help push our DNA into the next round. Much of the time, in fact, the brain accomplishes that by making us unhappy. Anxiety, hunger, fatigue, loneliness, thirst, anger and fear spur action to meet the competitive challenges we face.
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  • The human brain was formed by relentless competition in the natural world, so it should be no surprise that we adapt quickly to changes in circumstances.
  • All of this brings us back to our decisions about how hard we should work — choices that have important implications for the lives we are able to lead. Most people would love to have a job with interesting, capable colleagues, a high level of autonomy and ample opportunities for creative expression. But only a limited number of such jobs are available — and it’s our fretting that can motivate us to get them.
  • THE anxiety we feel about whether we’ll succeed is evolution’s way of motivating us.
Javier E

Why Teenagers Act Crazy - NYTimes.com - 1 views

  • there is a darker side to adolescence that, until now, was poorly understood: a surge during teenage years in anxiety and fearfulness. Largely because of a quirk of brain development, adolescents, on average, experience more anxiety and fear and have a harder time learning how not to be afraid than either children or adults.
  • the brain circuit for processing fear — the amygdala — is precocious and develops way ahead of the prefrontal cortex, the seat of reasoning and executive control. This means that adolescents have a brain that is wired with an enhanced capacity for fear and anxiety, but is relatively underdeveloped when it comes to calm reasoning.
  • the brain’s reward center, just like its fear circuit, matures earlier than the prefrontal cortex. That reward center drives much of teenagers’ risky behavior. This behavioral paradox also helps explain why adolescents are particularly prone to injury and trauma. The top three killers of teenagers are accidents, homicide and suicide.
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  • The brain-development lag has huge implications for how we think about anxiety and how we treat it. It suggests that anxious adolescents may not be very responsive to psychotherapy that attempts to teach them to be unafraid, like cognitive behavior therapy
  • should also make us think twice — and then some — about the ever rising use of stimulants in young people, because these drugs may worsen anxiety and make it harder for teenagers to do what they are developmentally supposed to do: learn to be unafraid when it is appropriate
  • up to 20 percent of adolescents in the United States experience a diagnosable anxiety disorder, like generalized anxiety or panic attacks, probably resulting from a mix of genetic factors and environmental influences.
  • This isn’t to say that cognitive therapy is ineffective for teenagers, but that because of their relative difficulty in learning to be unafraid, it may not be the most effective treatment when used on its own.
  • Fear learning lies at the heart of anxiety and anxiety disorders. This primitive form of learning allows us to form associations between events and specific cues and environments that may predict danger.
  • once previously threatening cues or situations become safe, we have to be able to re-evaluate them and suppress our learned fear associations. People with anxiety disorders have trouble doing this and experience persistent fear in the absence of threat — better known as anxiety.
  • Dr. Casey discovered that adolescents had a much harder time “unlearning” the link between the colored square and the noise than children or adults did.
  • adolescents had trouble learning that a cue that was previously linked to something aversive was now neutral and “safe.” If you consider that adolescence is a time of exploration when young people develop greater autonomy, an enhanced capacity for fear and a more tenacious memory for threatening situations are adaptive and would confer survival advantage. In fact, the developmental gap between the amygdala and the prefrontal cortex that is described in humans has been found across mammalian species, suggesting that this is an evolutionary advantage.
  • As a psychiatrist, I’ve treated many adults with various anxiety disorders, nearly all of whom trace the origin of the problem to their teenage years. They typically report an uneventful childhood rudely interrupted by adolescent anxiety. For many, the anxiety was inexplicable and came out of nowhere.
  • prescription sales for stimulants increased more than fivefold between 2002 and 2012. This is of potential concern because it is well known from both human and animal studies that stimulants enhance learning and, in particular, fear conditioning.
julia rhodes

"Carrot and Stick" Motivation Revisited by New Research | Psychology Today - 1 views

  • We continue to revisit the issue of motivation and specifically, the “carrot and stick” aspect.  New research seems to indicate that brain chemicals may control behavior and for people to learn and adapt in the world; therefore, both punishment and reward may be necessary. T
  • The real question is, which route would you choose—positive or negative? Most people are taught to refrain from engaging in a certain behavior by being given punishments that create negative feelings.
  • Different players use different strategies. It all depends on their genetic material. People's tendency to change their choice immediately after receiving a punishment depends on which serotonin gene variant they inherited from their parents. The dopamine gene variant, on the other hand, exerts influence on whether people can stop themselves making the choice that was previously rewarded, but no longer is
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  • What do we mean by motivation? It's been defined as a predisposition to behave in a purposeful manner to achieve specific, unmet needs and the will to achieve, and the inner force that drives individuals to accomplish personal and organizational goals. And why do we need motivated employees? The answer is survival.
  • It turns out that people are motivated by interesting work, challenge, and increasing responsibility—intrinsic factors. People have a deep-seated need for growth and achievement.
  • Even understanding what constitutes human motivation  has been a centuries old puzzle, addressed as far back as Aristotle.
  • . Pink concludes that extrinsic motivators work only in a surprisingly narrow band of circumstances; rewards often destroy creativity and employee performance; and the secret to high performance isn’t reward and punishment but that unseen intrinsic drive—the drive to do something  because it is meaningful.
  • true motivation boils down to three elements: Autonomy, the desire to direct our own lives; mastery, the desire to continually improve at something that matters to us, and purpose, the desire to do things in service of something larger than ourselves.
  • The carrot-and-stick approach worked well for typical tasks of the early 20th century —routine, unchallenging and highly controlled. For these tasks, where the process is straightforward and lateral thinking is not required, rewards can provide a small motivational boost without any harmful side effects
  • obs in the 21st century have changed dramatically. They have become more complex, more interesting and more self-directed, and this is where the carrot-and-stick approach has become unstuck.
Javier E

When Life Asks for Everything - The New York Times - 0 views

  • I’d like to offer you two models of human development.
  • The first is what you might call The Four Kinds of Happiness. The lowest kind of happiness is material pleasure, having nice food and clothing and a nice house. Then there is achievement, the pleasure we get from earned and recognized success. Third, there is generativity, the pleasure we get from giving back to others. Finally, the highest kind of happiness is moral joy, the glowing satisfaction we get when we have surrendered ourselves to some noble cause or unconditional love.
  • The big difference between these two schemes is that The Four Kinds of Happiness moves from the self-transcendence individual to the relational and finally to the transcendent and collective. Maslow’s hierarchy of needs, on the other hand, moves from the collective to the relational and, at its peak, to the individual. In one the pinnacle of human existence is in quieting and transcending the self; in the other it is liberating and actualizing the self.
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  • The second model is Maslow’s famous hierarchy of needs. In this conception, we start out trying to satisfy our physical needs, like hunger or thirst. Once those are satisfied we move up to safety needs, economic and physical security. Once those are satisfied we can move up to belonging and love. Then when those are satisfied we can move up to self-esteem. And when that is satisfied we can move up to the pinnacle of development, self-actualization, which is experiencing autonomy and living in a way that expresses our authentic self.
  • Most religions and moral systems have aimed for self-quieting and, figuring that the great human problem is selfishness. But around the middle of the 20th century, Abraham Maslow, Carl Rogers and others aimed to liberate and enlarge the self. They brought us the self-esteem movement, humanistic psychology, and their thinking is still very influential today.
  • In the Four Happiness frame, by contrast, marriage can be a school in joy. You might go into marriage in a fit of passion, but, if all works out, pretty soon you’re chopping vegetables side by side in the kitchen
  • None of us lives up to our ideals in marriage or anything else. But at least we can aim high. Maslow’s hierarchy of needs too easily devolves into self-absorption. It’s time to put it away.
Javier E

Opinion | Kindness Is a Skill - The New York Times - 0 views

  • I’ve been searching for practical tips on how we can be less beastly to one another, especially when we’re negotiating disagreements. I’ve found some excellent guides — like “Negotiating the Nonnegotiable” by Daniel Shapiro, “The Rough Patch” by Daphne de Marneffe and “The Art of Gathering” by Priya Parker
  • not entirely useless tips.
  • The rule of how many. When hosting a meeting, invite six people to your gathering if you want intimate conversation. Invite 12 if you want diversity of viewpoints. Invite 120 if you want to create a larger organism that can move as one.
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  • Tough conversations are usually about tribal identity
  • The best icebreaker. To start such a gathering, have all participants go around the room and describe how they got their names.
  • Scramble the chairs. If you invite disagreeable people over for a conversation, clear the meeting room, except jumble the chairs in a big pile in the middle. This will force everybody to do a cooperative physical activity, untangling the chairs, before anything else. Plus, you’ll scramble the power dynamics depending on where people choose to place their chairs.
  • You rigidify tribal identity every time you make a request that contains a hint of blame. You make that identity less inflamed every time you lead with weakness: “I know I’m a piece of work, but I’m trying to do better, and I hope you can help me out.” When tribal differences are intractable, the best solution is to create a third tribe that encompasses both of the warring two
  • The all-purpose question. “Tell me about the challenges you are facing?” Use it when there seems to be nothing else to say.
  • Never have a meeting around a problem. If you have a problem conversation you are looking backward and assigning blame
  • Instead, have a possibility conversation. Discuss how you can use the assets you have together to create something good.
  • Your narrative will never win
  • Get over it. Find a new narrative.
  • Never threaten autonomy
  • People like to feel that their options are open. If you give them an order — “Calm down” or “Be reasonable” — all that they will hear is that you’re threatening their freedom of maneuver, and they will shut down
  • Attune to the process. When you’re in the middle of an emotional disagreement, shift attention to the process of how you are having the conversatio
  • Agree on something. If you’re in the middle of an intractable disagreement, find some preliminary thing you can agree on so you can at least take a step into a world of shared reality
  • Gratitude. People who are good at relationships are always scanning the scene for things they can thank somebody for
  • Never sulk or withdraw. If somebody doesn’t understand you, not communicating with her won’t help her understand you better.
  • Reject either/or. The human mind has a tendency to reduce problems to either we do this or we do that
  • There are usually many more options neither side has imagined yet.
  • Presume the good. Any disagreement will go better if you assume the other person has good intentions and if you demonstrate how much you over all admire him or her.
Javier E

Opinion | How to Serve a Deranged Tyrant, Stoically - The New York Times - 0 views

  • In A.D. 49, the well-known writer and Stoic philosopher was recalled from exile to tutor the successor of the emperor Claudius, a promising teenager named Nero. Like many people today, Seneca entered public service with ideals mitigated by a pragmatic understanding of the reality of the politics of his time.
  • Seneca, by contrast, had no hope that he could achieve anything by direct opposition to any of the emperors under whom he lived. His best hope was to moderate some of Nero’s worst tendencies and to maximize his own sense of autonomy.”
  • Though Nero had good qualities, he was obsessed with fame and had an endless need for validation. He was also unstable and paranoid, and began to eliminate his rivals — including murdering his own mother. Was Seneca personally involved in these decisions? We don’t know. But he helped legitimize the regime with his presence, and profited from it as well, becoming one of Rome’s richest men through his 13 years of service.
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  • Live Nation Rules Music Ticketing, Some Say With Threats
  • To the Stoics, contributing to public affairs was a critical duty of the philosopher. Could Seneca decline to serve because he disagreed with the emperor? Could he leave a deranged Nero unsupervised? In time, Seneca would also come to the conclusion that when “the state is so rotten as to be past helping, if evil has entire dominion over it, the wise man will not labor in vain or waste his strength in unprofitable efforts.”
  • My own early career involved some questionable service to businesspeople. Employed and paid by them, I planned and carried out controversial publicity stunts, and used dishonest tactics with the public and the media. When I finally left those roles, I found a knowledge of Stoic philosophy integral to my ability to assess my past actions, and set a more honorable course going forward.
  • Seneca seemed to realize only belatedly that one can contribute to his fellow citizens in ways other than through the state — for instance, by writing or simply by being a good man at home.
  • In 65 A.D., Seneca would again find that philosophy did not exist only in the ethereal world. Conspirators began to plot against Nero’s life, and Seneca, finally accepting that the monster he had helped create needed to be stopped, appears to have participated — or covered for those who did.
  • The effort failed but provided Seneca an opportunity: His life up to that point had contradicted many of his own teachings, but now when Nero’s guards came and demanded his life, he would be brave and wise. The man who had written much about learning how to die and facing the end without fear would comfort his friends, finish an essay he was writing and distribute some finished pieces for safekeeping. Then, he slit his veins, took hemlock and succumbed to the suffocating steam of a bath.
Javier E

How Tech Can Turn Doctors Into Clerical Workers - The New York Times - 0 views

  • what I see in my colleague is disillusionment, and it has come too early, and I am seeing too much of it.
  • In America today, the patient in the hospital bed is just the icon, a place holder for the real patient who is not in the bed but in the computer. That virtual entity gets all our attention. Old-fashioned “bedside” rounds conducted by the attending physician too often take place nowhere near the bed but have become “card flip” rounds
  • My young colleague slumping in the chair in my office survived the student years, then three years of internship and residency and is now a full-time practitioner and teacher. The despair I hear comes from being the highest-paid clerical worker in the hospital: For every one hour we spend cumulatively with patients, studies have shown, we spend nearly two hours on our primitive Electronic Health Records, or “E.H.R.s,” and another hour or two during sacred personal time.
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  • The living, breathing source of the data and images we juggle, meanwhile, is in the bed and left wondering: Where is everyone? What are they doing? Hello! It’s my body, you know
  • Our $3.4 trillion health care system is responsible for more than a quarter of a million deaths per year because of medical error, the rough equivalent of, say, a jumbo jet’s crashing every day.
  • I can get cash and account details all over America and beyond. Yet I can’t reliably get a patient record from across town, let alone from a hospital in the same state, even if both places use the same brand of E.H.R
  • the leading E.H.R.s were never built with any understanding of the rituals of care or the user experience of physicians or nurses. A clinician will make roughly 4,000 keyboard clicks during a busy 10-hour emergency-room shift
  • In the process, our daily progress notes have become bloated cut-and-paste monsters that are inaccurate and hard to wade through. A half-page, handwritten progress note of the paper era might in a few lines tell you what a physician really thought
  • so much of the E.H.R., but particularly the physical exam it encodes, is a marvel of fiction, because we humans don’t want to leave a check box empty or leave gaps in a template.
  • For a study, my colleagues and I at Stanford solicited anecdotes from physicians nationwide about patients for whom an oversight in the exam (a “miss”) had resulted in real consequences, like diagnostic delay, radiation exposure, therapeutic or surgical misadventure, even death. They were the sorts of things that would leave no trace in the E.H.R. because the recorded exam always seems complete — and yet the omission would be glaring and memorable to other physicians involved in the subsequent care. We got more than 200 such anecdotes.
  • The reason for these errors? Most of them resulted from exams that simply weren’t done as claimed. “Food poisoning” was diagnosed because the strangulated hernia in the groin was overlooked, or patients were sent to the catheterization lab for chest pain because no one saw the shingles rash on the left chest.
  • I worry that such mistakes come because we’ve gotten trapped in the bunker of machine medicine. It is a preventable kind of failure
  • How we salivated at the idea of searchable records, of being able to graph fever trends, or white blood counts, or share records at a keystroke with another institution — “interoperability”
  • The seriously ill patient has entered another kingdom, an alternate universe, a place and a process that is frightening, infantilizing; that patient’s greatest need is both scientific state-of-the-art knowledge and genuine caring from another human being. Caring is expressed in listening, in the time-honored ritual of the skilled bedside exam — reading the body — in touching and looking at where it hurts and ultimately in localizing the disease for patients not on a screen, not on an image, not on a biopsy report, but on their bodies.
  • What if the computer gave the nurse the big picture of who he was both medically and as a person?
  • a professor at M.I.T. whose current interest in biomedical engineering is “bedside informatics,” marvels at the fact that in an I.C.U., a blizzard of monitors from disparate manufacturers display EKG, heart rate, respiratory rate, oxygen saturation, blood pressure, temperature and more, and yet none of this is pulled together, summarized and synthesized anywhere for the clinical staff to use
  • What these monitors do exceedingly well is sound alarms, an average of one alarm every eight minutes, or more than 180 per patient per day. What is our most common response to an alarm? We look for the button to silence the nuisance because, unlike those in a Boeing cockpit, say, our alarms are rarely diagnosing genuine danger.
  • By some estimates, more than 50 percent of physicians in the United States have at least one symptom of burnout, defined as a syndrome of emotional exhaustion, cynicism and decreased efficacy at work
  • It is on the increase, up by 9 percent from 2011 to 2014 in one national study. This is clearly not an individual problem but a systemic one, a 4,000-key-clicks-a-day problem.
  • The E.H.R. is only part of the issue: Other factors include rapid patient turnover, decreased autonomy, merging hospital systems, an aging population, the increasing medical complexity of patients. Even if the E.H.R. is not the sole cause of what ails us, believe me, it has become the symbol of burnou
  • burnout is one of the largest predictors of physician attrition from the work force. The total cost of recruiting a physician can be nearly $90,000, but the lost revenue per physician who leaves is between $500,000 and $1 million, even more in high-paying specialties.
  • I hold out hope that artificial intelligence and machine-learning algorithms will transform our experience, particularly if natural-language processing and video technology allow us to capture what is actually said and done in the exam room.
  • as with any lab test, what A.I. will provide is at best a recommendation that a physician using clinical judgment must decide how to apply.
  • True clinical judgment is more than addressing the avalanche of blood work, imaging and lab tests; it is about using human skills to understand where the patient is in the trajectory of a life and the disease, what the nature of the patient’s family and social circumstances is and how much they want done.
  • Much of that is a result of poorly coordinated care, poor communication, patients falling through the cracks, knowledge not being transferred and so on, but some part of it is surely from failing to listen to the story and diminishing skill in reading the body as a text.
  • As he was nearing death, Avedis Donabedian, a guru of health care metrics, was asked by an interviewer about the commercialization of health care. “The secret of quality,” he replied, “is love.”/•/
Javier E

Opinion | The Strange Failure of the Educated Elite - The New York Times - 0 views

  • We replaced a system based on birth with a fairer system based on talent. We opened up the universities and the workplace to Jews, women and minorities. University attendance surged, creating the most educated generation in history. We created a new boomer ethos, which was egalitarian (bluejeans everywhere!), socially conscious (recycling!) and deeply committed to ending bigotry.
  • The older establishment won World War II and built the American Century. We, on the other hand, led to Donald Trump. The chief accomplishment of the current educated elite is that it has produced a bipartisan revolt against itself.
  • the new meritocratic aristocracy has come to look like every other aristocracy. The members of the educated class use their intellectual, financial and social advantages to pass down privilege to their children, creating a hereditary elite that is ever more insulated from the rest of society. We need to build a meritocracy that is true to its values, truly open to all.
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  • But the narrative is insufficient. The real problem with the modern meritocracy can be found in the ideology of meritocracy itself. Meritocracy is a system built on the maximization of individual talent, and that system unwittingly encourages several ruinous beliefs:
  • Exaggerated faith in intelligence.
  • Many of the great failures of the last 50 years, from Vietnam to Watergate to the financial crisis, were caused by extremely intelligent people who didn’t care about the civic consequences of their actions.
  • Misplaced faith in autonomy
  • The meritocracy is based on the metaphor that life is a journey. On graduation days, members for the educated class give their young Dr. Seuss’ “Oh, the Places You’ll Go!” which shows a main character, “you,” who goes on a solitary, unencumbered journey through life toward success. If you build a society upon this metaphor you will wind up with a society high in narcissism and low in social connection
  • Life is not really an individual journey. Life is more like settling a sequence of villages. You help build a community at home, at work, in your town and then you go off and settle more villages.
  • Instead of seeing the self as the seat of the soul, the meritocracy sees the self as a vessel of human capital, a series of talents to be cultivated and accomplishments to be celebrated.
  • Misplaced notion of the self
  • If you base a society on a conception of self that is about achievement, not character, you will wind up with a society that is demoralized; that puts little emphasis on the sorts of moral systems that create harmony within people, harmony between people and harmony between people and their ultimate purpose.
  • Inability to think institutionally.
  • Previous elites poured themselves into institutions and were pretty good at maintaining existing institutions, like the U.S. Congress, and building new ones, like the postwar global order.
  • The current generation sees institutions as things they pass through on the way to individual success. Some institutions, like Congress and the political parties, have decayed to the point of uselessness, while others, like corporations, lose their generational consciousness
  • Misplaced idolization of diversity
  • But diversity is a midpoint, not an endpoint. Just as a mind has to be opened so that it can close on something, an organization has to be diverse so that different perspectives can serve some end.
  • Diversity for its own sake, without a common telos, is infinitely centrifugal, and leads to social fragmentation.
  • The essential point is this: Those dimwitted, stuck up blue bloods in the old establishment had something we meritocrats lack — a civic consciousness, a sense that we live life embedded in community and nation, that we owe a debt to community and nation and that the essence of the admirable life is community before self.
  • The meritocracy is here to stay, thank goodness, but we probably need a new ethos to reconfigure it — to redefine how people are seen, how applicants are selected, how social roles are understood and how we narrate a common national purpose
sissij

There's a Major Problem with AI's Decision Making | Big Think - 0 views

  • For eons, God has served as a standby for “things we don’t understand.” Once an innovative researcher or tinkering alchemist figures out the science behind the miracle, humans harness the power of chemistry, biology, or computer science.
  • The process of ‘deep learning’—in which a machine extracts information, often in an unsupervised manner, to teach and transform itself—exploits a longstanding human paradox: we believe ourselves to have free will, but really we’re a habit-making and -performing animal repeatedly playing out its own patterns.
  • When we place our faith in an algorithm we don’t understand—autonomous cars, stock trades, educational policies, cancer screenings—we’re risking autonomy, as well as the higher cognitive and emotional qualities that make us human, such as compassion, empathy, and altruism.
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  • Of course, defining terms is of primary importance, a task that has proven impossible when discussing the nuances of consciousness, which is effectively the power we’re attempting to imbue our machines with.
  • What type of machines are we creating if we only recognize a “sort of” intelligence under the hood of our robots? For over a century, dystopian novelists have envisioned an automated future in which our machines best us. This is no longer a future scenario.
  •  
    In the fiction books, we can always see a scene that the AI robots start to take over the world. We humans are always afraid of AI robots having emotions. As we discussed in TOK, there is a phenomenon that the more robots are like human, the more people despise of them. I think that's because if robots start to have emotions, then they would be easily out of our control. We still see AI robots as lifeless gears and machines, what if they are more than that? --Sissi (4/23/2017)
Javier E

Mis-Educating the Young - The New York Times - 0 views

  • While in school, her thinking was station to station: take that test, apply to that college, aim for a degree. But in young adulthood, there are no more stations. Everything is open seas. Your main problems are not about the assignment right in front of you; they are about the horizon far away. What should you be steering toward? It requires an entirely different set of navigational skills.
  • one of the oddest phenomena of modern life. Childhood is more structured than it has ever been. But then the great engine of the meritocracy spits people out into a young adulthood that is less structured than it has ever been.
  • There used to be certain milestones that young adults were directed toward by age 27: leaving home, becoming financially independent, getting married, buying a house, having a child. But the information economy has scrambled those timetables. Current 20-somethings are much less likely to do any of those things by 30. They are less likely to be anchored in a political party, church or some other creedal community.
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  • When I graduated from college there was a finite number of career ladders in front of me: teacher, lawyer, doctor, business. Now college graduates enter a world with four million footstools. There are many more places to perch (a start-up, an NGO, a coffee shop, a consultancy) but few of the footstools pay a sustaining wage, seem connected with the others or lead to a clear ladder of rungs to climb upward.
  • People in their 20s seem to be compelled to bounce around more, popping up here and there, quantumlike, with different jobs, living arrangements and partners while hoping that all these diverse experiences magically add up to something.
  • All the while social media makes the comparison game more intrusive than ever, and nearly everybody feels as if he or she is falling behind.
  • Naturally enough, their descriptions of their lives are rife with uncertainty and anxiety
  • And how do we as a society prepare young people for this uncertain phase? We pump them full of vapid but haunting praise about how talented they are and how their future is limitless
  • we preach a gospel of autonomy that says all the answers to the deeper questions in life are found by getting in touch with your “true self,” whatever the heck that is.
  • Now I think that laissez-faire attitude trivializes the experiences of young adulthood and condescends to the people going through them.
  • telling people “30 is the new 20” is completely counterproductive.
  • colleges have to do much more to put certain questions on the table, to help students grapple with the coming decade of uncertainty: What does it mean to be an adult today? What are seven or 10 ways people have found purpose in life? How big should I dream or how realistic should I be? What are the criteria we should think about before shacking up? What is the cure for sadness? What do I want and what is truly worth wanting?
  • Before, there were social structures that could guide young adults as they gradually figured out the big questions of life. Now, those structures are gone. Young people are confronted by the existential questions right away. They’re going to feel lost if they have no sense of what they’re pointing toward, if they have no vision of the holy grails on the distant shore.
Javier E

You Think With the World, Not Just Your Brain - The Atlantic - 2 views

  • embodied or extended cognition: broadly, the theory that what we think of as brain processes can take place outside of the brain.
  • The octopus, for instance, has a bizarre and miraculous mind, sometimes inside its brain, sometimes extending beyond it in sucker-tipped trails. Neurons are spread throughout its body; the creature has more of them in its arms than in its brain itself. It’s possible that each arm might be, to some extent, an independently thinking creature, all of which are collapsed into an octopean superconsciousness in times of danger
  • Embodied cognition, though, tells us that we’re all more octopus-like than we realize. Our minds are not like the floating conceptual “I” imagined by Descartes. We’re always thinking with, and inseparable from, our bodies.
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  • The body codes how the brain works, more than the brain controls the body. When we walk—whether taking a pleasant afternoon stroll, or storming off in tears, or trying to sneak into a stranger’s house late at night, with intentions that seem to have exploded into our minds from some distant elsewhere—the brain might be choosing where each foot lands, but the way in which it does so is always constrained by the shape of our legs
  • The way in which the brain approaches the task of walking is already coded by the physical layout of the body—and as such, wouldn’t it make sense to think of the body as being part of our decision-making apparatus? The mind is not simply the brain, as a generation of biological reductionists, clearing out the old wreckage of what had once been the soul, once insisted. It’s not a kind of software being run on the logical-processing unit of the brain. It’s bigger, and richer, and grosser, in every sense. It has joints and sinews. The rarefied rational mind sweats and shits; this body, this mound of eventually rotting flesh, is really you.
  • That’s embodied cognition.
  • Extended cognition is stranger.
  • The mind, they argue, has no reason to stop at the edges of the body, hemmed in by skin, flapping open and closed with mouths and anuses.
  • When we jot something down—a shopping list, maybe—on a piece of paper, aren’t we in effect remembering it outside our heads? Most of all, isn’t language itself something that’s always external to the individual mind?
  • Language sits hazy in the world, a symbolic and intersubjective ether, but at the same time it forms the substance of our thought and the structure of our understanding. Isn’t language thinking for us?
  • Writing, for Plato, is a pharmakon, a “remedy” for forgetfulness, but if taken in too strong a dose it becomes a poison: A person no longer remembers things for themselves; it’s the text that remembers, with an unholy autonomy. The same criticisms are now commonly made of smartphones. Not much changes.
Javier E

As a Doctor, I Was Skeptical About the Covid Vaccine. Then I Reviewed the Science. - Th... - 0 views

  • Until last week, I wasn’t sure I would get the vaccine. Some media reports highlight that mRNA vaccines have never been approved for use in humans outside clinical trials, making it seem like a new technology that has not been tested before. The vaccines were developed at such speed, I couldn’t be sure that major side effects hadn’t been overlooked. I worried about autoimmunity caused by expressing the coronavirus spike proteins on my own cells.
  • Every day in the emergency department, patients walk away from essential care against medical advice, and we watch them go with a shake of our heads and a rueful smile. Just like them, isolated with my doubts, I was ready to exercise my right to free will and refuse the vaccine.
  • When my non-medical friends asked me about it, I was torn between telling them my concerns and playacting the doctor who recommends the latest proven therapy.
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  • The guilt I felt about this compelled me to objectively review the literature on mRNA vaccines. Not being an expert in virology or biochemistry, I realized I had to quickly master unfamiliar words like “transfection” and concepts about gene sequences. Slowly, the information I was devouring started changing my beliefs.
  • I learned that research into using mRNA for vaccinations and cancer therapies has been ongoing for the past 30 years. Trial and error have refined this modality so that it was almost fully fledged by the time Covid hit
  • The mRNA from the vaccine is broken down quickly in our cells, and the coronavirus spike protein is expressed only transiently on the cell surface.
  • Furthermore, this type of vaccine is harnessing a technique that viruses already use.
  • It was humbling to have to change my mind. As I booked my vaccination time slot, I realized how lucky I am to have access to all this research, as well as the training to understand it.
  • As medical professionals, we cannot afford to be paternalistic and trust that people will follow advice without all the facts. This is especially true in Australia, where the vast majority of us have never witnessed firsthand the ravages that this disease can inflict.
  • Like all new converts, I am now a true believer: I’d like everyone to be vaccinated. But autonomy is a precious tenet of a free society, and I’m glad the ethicists have advised against mandating the vaccine
  • just hope that with more robust discussion and the wider dissemination of scientific knowledge, we may sway people like me — who have what may be valid reservations — to get the vaccine.
pier-paolo

Modern Science Didn't Appear Until the 17th Century. What Took So Long? - The New York ... - 0 views

  • While modern science is built on the primacy of empirical data — appealing to the objectivity of facts — actual progress requires determined partisans to move it along.
  • human civilization has existed for millenniums, and modern science — as distinct from ancient and medieval science, or so-called natural philosophy — has only been around for a few hundred years. What took so long?
  • Strevens gives the example of a biologist couple who spent every summer since 1973 on the Galápagos, measuring finches; it took them four decades before they had enough data to conclude that they had observed a new species of finch.
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  • focusing so narrowly, for so long, on tedious work that may not come to anything is inherently unappealing for most people. Rich and learned cultures across the world pursued all kinds of erudition and scholarly traditions, but didn’t develop this “knowledge machine” until relatively recently
  • it took a cataclysm to disrupt the longstanding way of looking at the world in terms of an integrated whole.
  • Even though Newton was an ardent alchemist with a side interest in biblical prophecy, he supported his scientific findings with empirical inquiry; he was, Strevens argues, “a natural intellectual compartmentalizer” who arrived at a fortuitous time.
  • “the iron rule of explanation,” requiring scientists to settle arguments by empirical testing, imposing on them a common language “regardless of their intellectual predilections, cultural biases or narrow ambitions.
  • Climate change, pandemics — he comes up to the present day, ending on a grim but resolute note, hopeful that scientists will adapt and find a better way to communicate with a suspicious public. “We’ve pampered and praised the knowledge machine, given it the autonomy it has needed to grow,” he writes. “Now we desperately need its advice.”
ilanaprincilus06

Bringing genetics into trans identity is a terrifying path | Fury | Opinion | The Guardian - 0 views

  • This study was looking at the relationship between these genes and the possibility that they are a factor in what causes gender dysphoria.
  • By examining a link between genetics and gender dysphoria, this study is investigating a potential biological cause for the existence of transgender people.
  • “This is nothing new. These arguments have happened before with research into the ‘gay gene’ in the late 1980s and early 90s.”
    • ilanaprincilus06
       
      Have we found evidence of a "straight gene"? It is sad that the presumed assumption of everyone being born straight is still an ongoing argument.
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  • “In their study, they found that some of these gene variants were significantly more associated with being trans women, and not just being male. That doesn’t establish causality, and it is just an association. And in fact, its a weak association,”
  • genetic markers are not assumed to be the only factor in what shapes something like gender.
  • When publishing material that supports the idea that there is a biological element to gender identity, scientists, policy makers and the general public are less inclined to listen to trans activists.
  • Trans activists seek to educate people on their fundamental human right to experiment with dress, movement, identity and presentation.
  • “The way that science, technology and science is progressing can be incredibly dangerous in regards to things like eugenics.”
  • Until 2013, trans people in Sweden were required to undergo sterilization before they could access gender-affirming treatment.
  • Given the rising accessibility of gene testing, this sort of research can easily be weaponised as justification for sterilisation, persecution or the abortion of fetuses with these genes.
  • It also further troubles the tenuous relationship that the scientific and medical community have with the trans community.
  • Fostering the notion of a genetic factor to gender dysphoria threatens to further complicate trans people’s access to appropriate care.
  • it takes away their right to self determination and the right to bodily autonomy in regards to gender expression and creativity.”
  • raises questions about the repeated and unchecked power discrepancies between science, medicine and the trans and gender diverse community.
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