Visualizzazione post con etichetta science. Mostra tutti i post
Visualizzazione post con etichetta science. Mostra tutti i post

lunedì, novembre 02, 2020

How ‘science’ was used to victimise unmarried mothers

 

In Ireland in the past, unmarried mothers and their children were harshly treated as a result of a potent brew of Victorian values and a strict application of Catholic morality. But as we will see, in other countries such as Britain and Sweden, the ‘science’ of eugenics was often applied instead, with fearsome results.

This emerges, for instance, when we consider the debate around the Mental Deficiency Act that in 1913 created the legal categories of “feeble-minded person” and “moral imbecile” in the UK. Those categories related more to the ability to behave according to social expectations, particularly with regard to sexuality, than to abnormal psychological traits. This law was not repealed until 1959.

Alfred Frank Tredgold was the most influential ‘mental deficiency’ specialist of the time. A leading member of the Eugenics Society, he wrote the ‘Text-book of Mental Deficiency (Amentia)’, the “generally accepted standard work”, according to the British Medical Journal.

In this book Tredgold presents a number of working-class young women as case studies for the diagnosis of mental deficiency. This diagnosis is clearly related, in most of the case studies, to sex and pregnancy outside marriage.

Under the Mental Deficiency Act, thousands of young women who had children outside marriage were incarcerated or put in institutions because of fears that they would otherwise become pregnant again.

As Carolyn Oldfield explains in her PhD thesis entitled, ‘Growing up Good? Medical, Social Hygiene and Youth Work Perspectives on Young Women, 1918-1939’: “While this incarceration could extend throughout women’s fertile years and after, authorities directed their efforts towards identifying and segregating adolescent and young adult women, in order to prevent what was expected to be a cycle of repeated pregnancies and short-term recourse to the workhouse”.

Josiah Wedgwood, the main opponent of the Act in the British Parliament, maintained that the legislation purposely targeted women who went into workhouses to have children. (The workhouses were often the alternative to mother and baby homes in Britain as well as Ireland).

Outside the Parliament, one of the few opponents was G. K. Chesterton, who also fought eugenics (human selection) throughout his life. He seized on the subjectivity and almost infinite elasticity of terms like ‘defective’ or ‘lunacy’.

He called the Bill “a scheme to impose all the segregation, ‘control,’ and loss of citizenship which are the tragic consequences of lunacy on a very large class of people who are not lunatics.  … the new Bill will enable officials to treat as defective infants a vast and vague multitude of grown-up people who have suffered from any one of a million unnamed accidents of daily life; a number not only indefinite but infinite. They can be seized upon any excuse or none.”

In early twentieth century, proponents of eugenics were particularly focused in identifying the “defectives” as they believed that mental deficiency could be passed from one generation to another, and consequently deteriorate the quality of the overall population.

In the UK, the eugenicists failed to secure the sterilisation of mental defectives – which Winston Churchill had advocated – due to the opposition coming from sectors of the medical profession, the Catholic Church, and the labour movement.

They succeeded instead in the Nordic countries, particularly in Sweden, and in some American states. About 170,000 forced sterilisations were performed between the 1920s and the late 1970s in Scandinavian countries. For this purpose, the Swedish Institute for Racial Biology was set up at Uppsala University in 1922. Together with sterilisation, the Nordic governments enacted marriage limitation, castration and abortion laws.

Cambridge historian Professor Véronique Mottier writes that among the victims of these policies were “socially deviant groups such as unmarried mothers”.

Tellingly, she says that while “feminists were to be found on both sides of the debate – supporting and opposing eugenics – most opposition came from liberals, who rejected state intervention in private life, and Churches, particularly the Catholic Church.”

She points out: “Social democrat reformers were amongst the pioneers of eugenic ‘science’ as well as policy practices in Europe. A number of eugenic policies such as forced sterilisation of ‘degenerates’ were strongly promoted by the Left and were first applied in countries such as Switzerland and Sweden.”

Eugenic policies also included “education programmes, non-voluntary incarceration in psychiatric clinics, removal of children from parental homes, prohibition to marry, as well as measures that specifically targeted vagrants, ‘gypsies’, and, more generally, socially deviant groups such as unmarried mothers, ‘sexual deviants’, or people with physical or mental impairments”, Prof. Mottier says.

In Canada, in 1928 the province of Alberta created a Eugenic Board that approved more than 5,000 procedures of involuntary sterilisations on people classified as “mentally deficient”, mostly women. This happened with the participation of leading scientists of the time.

In the United States, compulsory sterilisation laws were adopted by over 30 states and affected more than 60,000 individuals who were mentally disabled or belonged to socially disadvantaged groups. (See here for a comprehensive account.)

The most famous of them was Carrie Buck, a teenager who became a test case for Virginia’s new eugenics legislation, in 1924. Carrie was raped by a member of her foster family, then declared feebleminded and “probable potential parent of socially inadequate offspring”. The request for her sterilization went up to the Supreme Court of the US. Justice Oliver Holmes famously said that “three generations of imbeciles are enough”, and Buck’s case opened the floodgates of eugenics and led to involuntary sterilization of thousands of people.
 

As mentioned, sterilisation was never legislated for in the UK. Following the Mental Deficiency Act, detention in institutions was the chosen road.

Once a clear association between young women’s sexual activity and their identification as ‘mentally defective’ was established, they would be practically incarcerated without any trial or recourse to the adult penal system.

The marriage of pregnant ‘mentally defective’ girls was also discouraged because it would make them more likely to bring up their children themselves, rather than giving them for adoption. But also because the stability of marriage would encourage them to have more children and, in this way, to pass on them their “defective genes”.

The fact that those practices were common at the time does not justifies them. Nonetheless, the consideration of the broader international context helps us understanding that the institutionalisations of young unmarried mothers took place not only in Ireland and not only where the Catholic Church had influence. 

We imagine that once religion was removed from the picture, unmarried mothers would be treated humanely but when ‘science’ was applied instead, we got eugenics and huge levels of cruelty.

lunedì, maggio 25, 2020

Should those in charge get priority treatment in a pandemic?

In a previous blog I discussed an article published in the New England Journal of Medicine (NEJM) that debates certain principles for allocating scarce medical resources during a pandemic.

The authors propose four main values that can be useful when there is a shortage of resources. They are: 1. Maximize the benefits; 2. Treat people equally; 3. Promote and reward instrumental value; and 4. Give priority to the worst off.

I have already discussed three of them and now I will concentrate on “promote and reward instrumental value”.

We value things intrinsically, for their own sake, or instrumentally, for the sake of something else. For instance, a banknote has little intrinsic value, it is just a piece of paper, but when it is a legal tender it also has an instrumental value because it can be used to pay for something. We employ it instrumentally for something else, to carry out a particular function.

Similarly, we can value human beings for what they are, in themselves, or for what they do, instrumentally. If I need a plumber, for instance, I will choose the one that suits me best. I treat him as an instrument for my purposes (do the job being paid for) and there is nothing wrong with it as this is the nature of a commercial transaction.

But when we need to evaluate who has priority in accessing medical resources, should we treat patients for their intrinsic value, simply as members of the human family, or also for some instrumental value, such as their utility to society?

In normal circumstances, we treat them according to their needs. Their past or their future, their role in society, their usefulness should not matter.

We give should give the opportunity to access the same treatment to an important doctor and to someone who has injured himself behaving recklessly, or to someone who is in prison. We value patients not from the point of view of society, but intrinsically, for what they are and not according to their history because even the worst human being deserves care.

Nonetheless, this general equality principle does not apply in exceptional circumstances.

For instance, if there is a health emergency on a ship with hundreds of people, it is morally acceptable to prioritise those who are in charge of the ship over the rest, because if they die, everyone else will also die. The instrumental value prevails in this case.

How this apply to our circumstances?

The NEJM article says: “Instrumental value could be promoted by giving priority to those who can save others, or rewarded by giving priority to those who have saved others in the past”.

Using a technical term, I will call those “diachronic criteria” as they associate value to time, to what someone did in the past or will do in the future.

I maintain that, in allocating medical resources, diachronic instrumental value should not apply retrospectively. Obviously, those who have made relevant contributions should be recognised and rewarded but this should not count as a criterion to select who should have access to ICU beds, ventilators, etc.  Nonetheless, treatments are not awards based on past merit but they are remedies offered according to actual needs. The focus in on the present.

And what about future usefulness or utility? Does it matter? It does but as an ultimate measure and only for the limited time of the in exceptional circumstances. (Think of the previous example of the ship).

The NEJM article says: “Critical Covid-19 interventions – testing, PPE, ICU beds, ventilators, therapeutics, and vaccines – should go first to front-line health care workers and others who care for ill patients and who keep critical infrastructure operating, particularly workers who face a high risk of infection and whose training makes them difficult to replace. These workers should be given priority not because they are somehow more worthy, but because of their instrumental value: they are essential to pandemic response”.

They have a higher instrumental value because saving them we will also save other lives. Special considerations will be beneficial to them directly and to others indirectly. So, all things being equal, it is morally acceptable to favour them because of their indispensable role for society.

This kind of thinking seemed to be dominant in March when hospitals were outbidding care homes for PPE and staff leaving them in very short supply at great cost. Almost two-thirds of Covid-related deaths have occurred in care homes and, in the end, the hospitals were never overwhelmed with Covid-patients or anything close to it.

I don’t believe we have anywhere reached such an exceptional level of emergency that the survival of large part of the population depends on few health professionals, but this is an evaluation that has to be performed locally.

In any case, the main point is that “promote and reward instrumental value” should not be interpreted retrospectively. Diachronic instrumental criteria are valid only exceptionally, for a limited period of time, and for the actual benefit of others.

lunedì, maggio 11, 2020

Religious practice reduces ‘deaths from despair’

new study from Harvard University has found that the frequent attendance of religious services dramatically reduces so-called ‘deaths from despair’, such as suicide, and drug or alcohol abuse. This finding seems more relevant than ever given the current pandemic that has resulted in untold job losses and a very uncertain future for many people. Economic slumps are always associated with a rise in ‘deaths from despair’, so if religion acts as a protective against this, then we need to pay attention.

The study followed a large cohort of more than 100,000 health care professionals in the US, over a long period of time (1999 -2016). 

The investigators started with the hypothesis that a weakening in traditional social support systems such as marriage and the family, leads to an increasing sense of hopelessness in many, leading in turn to a rise in “deaths of despair”.

One of the leading examples of such a weakened support system is the decline in religious participation, and therefore the investigators wanted to establish the link between despair and the declining attendance of religious services.

They found that nurses and physicians who attend a religious service at least weekly are less likely to die as a result of suicide or drug or alcohol abuse than their peers who do not attend.

The incidence of ‘deaths from despair’ among health professionals is more than double that of the general population, as a result of stress and trauma, but among those who attend a religious service at least once a week it drops by 68pc among women, and 33pc among men.

As the educational attainment of health professionals is higher than the average, despair in them is associated more with factors such as loss in meaning in life, rather than material deprivation.

Religion often fosters a sense of peace and positive outlook to life, it promotes social connectedness and encourages engagement in prosocial activities, such volunteering. “In the context of trauma, such resources may provide healthy stress-coping strategies and revive a sense of meaning in difficult times and thereby counteract various processes associated with despair.”, the study claims.

This is something to be pondered, particularly in the current difficult times when the general populations is experiencing unusual stress and trauma.

Even if churches are closed for public worship, people are still praying. A poll commissioned by the Iona Institute found that in Ireland 18pc said that they are praying more than they usually would.

Another new poll commissioned by Tearfund, a Christian relief and development agency and a member of the Disasters’ Emergency Committee, found that in the UK one in twenty (5pc) adults say they have started praying during the lockdown but they didn’t pray before.

Eighteen percent of UK adults have asked someone else to say a prayer for them and 19% say they have read a religious text during lockdown. Prayer is a vital part of life for the public, and among those who pray a third say that they have prayed since the COVID-19 lockdown because they believe it makes a difference.

There is a solid body of evidence highlighting the benefit of religion for mental health and the new Harvard study confirms that.

Professor Patricia Casey produced for the Iona Institute a paper called “The Psycho-Social Benefits of Religious Practice”, showing how a large number of scientific papers have established that religious practice reduces the risk of depression, suicide, marital breakdown, alcohol and drug abuse, pregnancy among teenagers. It also helps cope with bereavement effects.

Worship is, for those who believe, a source of consolation and hope, strength and motivation. A church is also a place where they can experience the support of a community and are encouraged to engage in activities that are useful to themselves and to others.

This new Harvard study shows that believers often respond better to the struggles of life, and it brings further evidence to fact that both their religious beliefs and the enhanced social connection that worshiping involves, are good for our health. This is something that secularists often forget.

martedì, gennaio 29, 2019

L’eredità di padre Stanley L. Jaki, a dieci anni della sua scomparsa

L’eredità di padre Stanley L. Jaki, a dieci anni della sua scomparsa
The legacy of Fr. Stanley L. Jaki, ten years after his death

Ateneo Pontificio Regina Apostolorum
Via degli Aldobrandeschi 190 – Roma

4-5 aprile 2019 / April 4-5, 2019

Bozza di programma / Program draft

Giovedì 4 aprile / Thurday, April 4
09:00 Saluto del Rettore / Rector’s greetings, P. Jesús Villagrasa, LC
09:15 Introduzione ai lavori / Introduction, P. Rafael Pascual, LC
09:30 I limiti di una scienza senza limiti / The limits of a limitless science, Antonio Colombo
10:15 A survey of Road to Science / Un’indagine sulla Strada della Scienza, Neal A. Doran
11:00 Pausa caffè / Coffee break
11:30 Anthropological Foundations of Bioethics, / I fondamenti antropologici della bioetica, Lucía Guerra Menéndez
12:15 El drama de Guadalupe / The drama of Guadalupe, Raquel Guerra
13:00 Pausa pranzo / Lunch break [Saletta professori / Faculty lounge]
15:30 La concezione epistemologica dei miracoli nel pensiero di p. Jaki / The epistemological conception of miracles in the thought of Fr. Jaki, Hrvoje Relja
16:15 Jaki e il giovane Kant / Jaki and Young Kant, Riccardo Pozzo
17:00 Pausa caffè / Coffee break
17:30 Stanley Jaki and Medieval Islamic Cosmology / Stanley Jaki e la cosmologia islamica medievale, Alessandro Giostra
18:15 La matrice cristiana delle rivoluzioni scientifiche / The Christian matrix of scientific revolutions, Costantino Sigismondi
19:00 Tavola rotonda conclusiva della giornata / Round table at the end of the day

Venerdì 5 aprile
09:00 “Quello che Dio ha separato”. Il modello del rapporto scienza-fede nel pensiero di padre Jaki / “What God separated”. The model of science-faith relation in the thought of Fr. Jaki, P. Rafael Pascual, LC
09:30 Fr Jaki and Converts to the Church / P. Jaki e i convertiti al cattolicesimo, John Beaumont
10:15 Eternal Returns in Father Jaki’s work / Gli ‘eterni ritorni’ nell’opera di Padre Jaki, Jacques Vauthier
11:00 Pausa caffè / Coffee break
11:30 La creazione e la singolarità cosmologica / Creation and the cosmological singularity, Fernando di Mieri
12:15 Recent Gravitational Waves data favor a single finite Universe as required in Fr. Jaki´s books / Le onde gravitazionali a favore di un singolo universo finito, come sosteneva P. Jaki Julio Gonzalo
13:00 Pranzo conclusivo / Concluding lunch

Offerte di intervento / Further possible interventions:

Paolo Musso Da definire / TBD (in collegamento / video conference)
Peter Floriani Intervento scritto su / Written contribution about The Relevance of Jaki,
da inserire possibilmente negli Atti / to eventually be inserted in the Acts