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Society is too slow to learn what learned people look like: Black women ARE what a doctor looks like
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Two years ago, in the wake of an incident in which a black woman doctor attempted to render medical aid and was dismissed due to doubt that she was a physician, IJFAB Blog featured a post on the issue of young black women not fitting the social imaginary of what a doctor looks like.

On Tuesday, October 30 of 2018, Dr. Fatima Cody Stanford was on a flight when she noticed a nearby passenger in distress and began rendering assistance. Flight staff approached and expressed doubt that she ought to be involved. She produced her medical license. “Are you a head doctor?” one of them asked. “Are you actually an M.D.?” A flight staff member then asked if the license was really hers. Dr. Stanford later said that she carries the medical license with her at all times because “I know I don’t look the part.”

A brown-skinned woman in a purple sleeveless professional-looking dress is smiling at the camera, her dark hair loose on her shoulders. The text indicates that this is Dr. Fatima Cody Stanford who is a doctor at Massachusetts General Hospital and an instructor at Harvard Medical School.

This image is a screenshot from The Nov 2, 2018 New York Times article on this event.

We have here a case of the most profound doubt about the expertise and trustworthiness of black women. Philosophers call this epistemic injustice, which involves doubt in persons as knowers and knowledge producers, as well as in the reliability of persons’ testimony. Black feminists have long written of this phenomenon’s application to black women, notably including sociologist Patricia Hill Collins’ influential work on why black women are not included in the canons of knowledge producers.

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NASSP CFA for E-APA 2019

Call for Abstracts

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The North American Society for Social Philosophy is seeking abstracts for paper presentations at the 2019 E-APA NASSP Session at Sheraton New York Times Square, New York, New York on January 9th, 11:15 am – 1:15 pm. Proposals in all areas of social philosophy are welcome. Abstracts are due by November 1st, and should not exceed 300 words. Please send your abstracts to EasternNASSP@gmail.com

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Patience with the blog, please
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Hello, folks.

Sometime in the past day or two, one of the blog’s authors was hacked.  Someone then posted a series of semi-random posts backdated for several months.

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New ACTUAL blog content is coming soon, with four great entries in the pipe for posting later this week and next week.

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New IJFAB issue is out!
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Hi, folks. The new Fall 2018 issue of IJFAB is out.

The theme is “Feminist Phenomenology, Medicine, Bioethics, and Health.” While most of the articles are subscription-only or accessible through various databases/indices, the The truth is that it began as a way to keep the 5 year order cialis old little brother occupied between the start of big sister’s dance class and the end of her class. Potency Most often than not, the brand name viagra ordination version of these medications. So, massage Mast Mood oil the efficient herbal massage oil gently on the male organ to get strong and rock hard erections and thus it helps to overcome the condition, but also prescription free viagra to make ED treatment simple than ever. Ensure no damage or dysfunction of http://opacc.cv/opacc/wp-content/uploads/2010/08/.._documentos_contabilistas_Modelo%2012.pdf cialis brand 20mg the apparatus beforehand. href=”https://www.utpjournals.press/doi/abs/10.3138/ijfab.2018.05.28″>Introduction to the special issue by Guest Editor Lauren Freeman is open access. Freeman places the special issue in context, and summarizes each article. Want to see what’s in store? Check it out!

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At the intersection of “fat” and “female”, it can be hard to get health care providers to provide health care
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Over at Inc., Suzanne Lucas has a good piece published August 27, 2018 on how unconscious bias can affect fat women’s access to health care. Too often, says Lucas, their testimony may be dismissed with dire consequences, because of their fatness or their femaleness or the intersection of both. She gives two cases and links to a relevant study.  As Lucas rightly notes, the intersection of fat and female with other socioeconomic groups (black, latina, queer) might also be something to consider.

Everywhere I have seen this posted on social media, commenters have pitched in with their own tales of symptoms being blamed on fatness that were actually something else, tests not being run, complaints dismissed as mere stress or worry (common for women), etc.
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Founding member of Feminist Approaches to Bioethics Network, Brazilian bioethicist Prof Debora Diniz, in hiding due to death threats

Yesterday, The Guardian reported on the dire straits afflicting Debora Diniz in Brazil. Diniz, a founding member of the Feminist Approaches to Bioethics Network (FABnet) which birthed IJFAB and consequently this blog, has gone into hiding.

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Screen cap of the Guardian article by Dom Phillips with the headline “Professor forced into hiding by death threats over Brazil abortion hearing”, referring to feminist bioethicist Deborah Diniz

Diniz has long experienced harassment in Brazil for her feminist advocacy over women’s reproductive rights. She has worked with organizations such as the International Women’s Health Coalition, working groups studying the effect of zika virus recommendations on women’s reproductive rights, and more. Her New York Times opinion piece on zika and Brazilian women’s right to choose is recommended reading. In the context of WHO and Latin American government recommendations for women who might become infected to not become pregnant, she wrote:

Lost in the panic about Zika is an important fact: The epidemic mirrors the social inequality of Brazilian society. It is concentrated among young, poor, black and brown women, a vast majority of them living in the country’s least-developed regions. The women at greatest risk of contracting Zika live in places where the mosquito is part of their everyday lives, where mosquito-borne diseases like dengue and chikungunya were already endemic. They live in substandard, crowded housing in neighborhoods where stagnant water, the breeding ground for disease-carrying mosquitoes, is everywhere. These women can’t avoid bites: They need to be outdoors from dawn until dusk to work, shop and take care of their children. And they are the same women who have the least access to sexual and reproductive health care.

This is characteristic of Diniz’s carefully honed attention to the impact of the social location of women on their access to healthcare. You can find a summary list of her many Spanish-language and English-language contributions to the bioethics and feminist literatures here. Diniz also has delved into the use of film to effectively reach the public about bioethical issues (see the links at the end of this post for details).

Now, The Guardian reports, Diniz finds herself in protective custody, hiding from those who have credibly threatened her with death and other terrors. Why? For her role in advocating for Brazil to liberalize its laws on abortion after a near-total ban on abortion under any circumstances was passed out of a Brazilian congressional committee in late 2017. As per Dom Phillips’ reporting on the issue,

Abortion is banned in Brazil unless a woman has been raped, her life is in danger, or the foetus has anencephaly, a fatal brain disorder. Unsafe abortions leave 250,000 women in Brazil hospitalised annually and cause 200 deaths.

Diniz has been in hiding leading up to a special hearing on the issue today and was set to be escorted to the hearing by police. After the hearing, there will be a vote on whether to decriminalize abortion. Phillips interviews women who have been denied abortion as well as obstetricians and Diniz herself (by phone). The article is well worth reading.

This is no post-feminist world. Reproductive rights remain under fire globally. Those who would seek to exercise these rights and those who advocate for them can find that the same holds true. It is not always safe to stand up for women and especially for vulnerable women. IJFAB Blog stands with Professor Diniz in this time and hopes for her continued safety, as well as the safety of the women for whom she advocates in a time when reproductive liberty in Brazil is in flux.

For more of Professor Diniz’s work related to FAB and IJFAB, see specifically:

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How to Fail Chronic Pain Patients
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An article recently posted by NPR describes the latest solution to a crisis of which usually only one side is well-represented:  the well-publicized fear of opioid abuse versus the quieter, yet ongoing, experiences of chronic pain patients who are losing access to perhaps the only methods of controlling their suffering:

The Arizona Opioid Epidemic Act was passed earlier this year with unanimous support.

It started in June of 2017, when Arizona’s Republican Governor Doug Ducey declared a public health emergency, citing new data, showing that two people were dying every day in the state from opioid overdoses.

“All bad actors will be held accountable — whether they are doctors, manufacturers or just plain drug dealers,” Ducey said in his annual State of the State address, in early January 2018.

The Governor went on to cite statistics from one rural county where four doctors prescribed six million pills in a single year, concluding “something has gone terribly, terribly wrong.”

The result has been confusion and fear, both on the part of physicians, and, importantly, on the part of chronic pain patients who are seeing both the availability and doses of opioids being restricted  —  often with very little warning.  As a result, these patients are not just experiencing more pain-stimulating anxiety.  Indeed, some are turning to dangerous street drugs like heroin, buying fentanyl-laced pills from dealers, or, in the most extreme cases, some are driven to suicide.

Kahlo, with her distinctive joined eyebrows, lies in a bed with white covers against a backdrop of barren rocky terrain, a hot sun burning in the sky. Above her is a rack on which are mounted organs, a human skull, and various meats and tissues. They are being funnelled into her mouth.

Surrealist painter Frida Kahlo experienced chronic pain. In this 1945 painting, Without Hope, Kahlo attempted to depict her experience of being bedridden with chronic pain.

I should say that I am not approaching this crisis from the relative remove of academic research.  A few months ago, after experiencing a bout of critical illness which confined me to a hospital bed for several weeks, I began my recovery process, only to discover that it was accompanied by severe nerve pain, resulting from (I am told) injured nerves “trying to wake up.”  This pain is ongoing, unrelenting, and is something that is with me from the moment I wake up.  Sleep becomes troubled, brief, disordered.  Life becomes a struggle to make it through the day, to dodge the pain, if even for a few minutes.  The definition of “normal” changes.  So do many other things.

My point is this:  Chronic pain takes one over in a way that few other things do.  And chronic pain patients, given the ongoing opioid hysteria, are left wondering what the alternatives might be.  Different drugs?  Which ones  —  and will they work?  Non-traditional treatments, many of which are not covered by insurance?  Medical marijuana  —  yes, it is known to be effective, but it is still illegal in many states and under federal law.  In fact, in New York, where chronic pain is finally included under the list of conditions that can warrant a cannabis prescription, there are so few doctors who even offer medical marijuana prescriptions that many pain patients simply give up the search.

So, I suppose the question is this:  what are chronic pain patients to do?  If we want to limit the availability of opioids, something effective has to replace them.  Otherwise, we are simply telling millions of people to bear it, to just live with it, to deal with it on their own.  Oh, and of course there is this:

In general, new addictions are uncommon among people who take opioids for pain in general. A Cochrane review of opioid prescribing for chronic pain found that less than one percent of those who were well-screened for drug problems developed new addictions during pain care; a less rigorous, but more recent review put the rate of addiction among people taking opioids for chronic pain at 8-12 percent.

Moreover, a study of nearly 136,000 opioid overdose victims treated in the emergency room in 2010, which was published in JAMA Internal Medicine in 2014 found that just 13 percent had a chronic pain condition.

All of this this means that steps to limit prescribing opioids for chronic pain run a great risk of harming pain patients without doing much to stop addiction. The vast majority of people who are prescribed opioids use them responsibly—recent research on roughly one million insurance claims for opioid prescriptions showed that just less than five percent of patients misused the drugs by getting prescriptions for them from multiple doctors.

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What we do now will matter not only to those currently suffering from chronic pain, but to all those to come.  Perhaps my views are tainted by direct experience, but it seems to me that an American love of draconian laws, war-on-drugs-fueled paranoia, and political cowardice cannot triumph over other considerations, compassion being the first.  Because if we leave those whose pain is not only great but inescapable to deal with their suffering alone, who are we, really?

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Pedagogy PART 4: The Ethical Classroom – Avoiding Privilege and Oppression When Teaching About It
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Editor’s Note: This is Part 4 in the IJFAB Blog mini-series on pedagogy, with a focus on teaching about oppression, disadvantage, and privilege. Part 1 dealt with dogmatically unyielding students, while Parts 2 and 3 gave the professor and student sides of the same issue: a member of a privileged group teaching about a system of privilege from which they benefit, about groups of which they are not a member. This installment considers the obligation to balance which participants are served by discussions of oppression and privilege. You will find a list of additional resources on this topic at the bottom of blog entry by Alison Reiheld.

I recently attended a summer institute focusing on public health for vulnerable populations, intended for professionals in health humanities. As a bioethicist who works on these issues, and as Director of Women’s Studies at my institution, I often teach and research on subjects that require effectively teaching about privilege and oppression with respect to gender, race, and access to health care. So I was looking forward to learning more about how to do this important part of my job. Nearly all of the workshops brought me new skills. One, however, was deeply troubling and reminded me of how important it is to avoid privilege and oppression as much as possible in teaching about privilege and oppression.

It is important to note that the institute/workshop participants were mostly white women including a few Jewish women, with a few white men, one Asian man, and two African-American women. This kind of demographic distribution is not uncommon in many university classrooms. My trepidation began to build when the person running this particular workshop said we were going to do an activity. In this activity, examples of privilege printed on 8.5″x 11″ paper were scattered at stations around the area. These included things like “You have never had to adjust your work schedule around childcare needs” and “You have never wondered whether a disparaging comment was made because of your skin color” and “You are rarely the only person like you in the room” and “When you look at politicians, you see people who look like you” and “When you go to a building, you can sure you will be able to climb the stairs to enter it”  and “When you go into a store, you are not regularly followed by staff because you are seen as a shoplifting risk.” Some of these were drawn from Peggy McIntosh’s then-groundbreaking 1988 work “White Privilege: Unpacking the Invisible Knapsack” with additions to accommodate other identities along which privilege and oppression work such as gender and class and dis/ability. Indeed, the exercise was well-designed to get participants to consider a large array of axes of oppression and privilege.  At each station, if you had the particular privilege, you would take a penny. And the number of pennies in your cup at the end would show how much privilege you had.

This image shows a transparent cup or mason jar, filled with pennies.

At the end, participants were asked to raise their hands if they had 18 or more pennies, 15-18, and so on down to zero pennies. As soon as this began I knew the answer to a distressing question: Who would be left standing in front of everyone when it came to the low end? My trepidation had been prescient. Let me explain why.

Note that this exercise serves three valuable pedagogical tasks: (1) it clarifies how privilege works–often unsought, undesired, but granted nonetheless–and (2) it does so for the people in the group for whom privilege is invisible and (3) it makes privileged persons accountable for their privilege in front of their peers. Let me say that second part again: this exercise clarifies how privilege works for the people in the group for whom privilege is invisible. In fact, it is very important for precisely these folks to understand privilege and its mechanisms.

But who bears the cost of this lesson?

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Pedagogy PART 3: A student wonders who should be teaching a course called “Rap, Race, Gender, and Philosophy.” Can a white male professor do the job? If so, how?
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Editor’s Note: Part 3 in our pedagogy mini-series comes to us from Elon University student Arianne Payne, an African-American woman who reflects on taking a course on rap, one which touches on racism and black culture, from a white male professor (that professor authored Part 2 in our series, while a stand-alone piece was Part 1). In particular, she discusses her reservations about this course being taught by a white professor, at all.  Ms. Payne is a rising junior at Elon University double majoring in Communication Design and English with a concentration in Creative Writing. Arianne has a passion for art and creativity, which have both been impacted and affected her academic career. As a 2018 recipient of Elon’s Lumen Scholarship, she will begin a two-year creative research project on Native American and African American communities this coming Fall. 

“I met this girl when I was three years old, and what I loved most, she had so much soul”

These are the opening lyrics to Kanye West’s “Homecoming”: a song in tribute to Chicago. They pay homage to fellow Chicagoan rapper, Common, who used similar lyrics in “I used to Love H.E.R”. As problematic as Kanye is, which I won’t get into here, these lyrics welcome me back to Chicago on every flight home from college. On every school break, they roll off my tongue as I reconnect with high school friends and the lights of my glowing city. I don’t know when I fell in love with hip hop, but I know these memories are one of the reasons why.

This image shows a screenshot from Kanye West’s “Homecoming.” A man, with face half-covered, stands in profile in front of the iconic “bean” (AKA Cloud Gate by sculptor Anish Kapoor) located in downtown Chicago at Millennium Park. The sculpture is a gigantic mirror-surfaced fluid object shaped roughly like a kidney bean. It reflects the city skyline and its people, including the observer, from any angle except directly below. From underneath the bean, one sees oneself and the people who are also below it.

Hip hop originated in the Bronx, New York City in the 1970’s in a postindustrial urban landscape. Hip Hop Scholar, Tricia Rose, describes hip hop as an “Afro-diasporic cultural form which attempts to negotiate the experiences of marginalization, brutally truncated opportunity and oppression within the cultural imperatives of African-American history” (Rose, 71). Postindustrial conditions, such as the formation of new international divisions of labor and new migration patterns from developing nations, have contributed to the economic and social restructuring of urban America which can still be seen today. In the 70’s cities experienced the loss of federal funds for social services, the displacement of industrial factories, and the conversion of real estate into luxury housing, leaving working-class residents with a diminishing job market, social services, and affordable housing (Rose, 73). Hip hop emerged as a way for black youth and youth of color to create identity and social status in a structurally changing community. Rappers, DJs, break dancers, and graffiti artists were facets of what is now known as hip hop. Artists in these realms not only elevated black youth identity, but also articulated approaches to art that were found in the African diaspora.

In the 80’s hip hop saw a shift from being community and DJ based to being emcee based, which was a result of commercialization as it moved from the Bronx and spread to Manhattan and other major cities across the country. This changed the consumption of rap music to be largely consumed by white audiences, which we still see today. Although historically and artistically hip hop is a black art form, this shift allowed space for white people to engage with and contribute to the evolution of hip hop.

I saw a first-hand example of the ways that white folk can engage with hip hop as I took a class called Rap, Race, Gender, and Philosophy this semester. Unlike most classes that you check off as a requirement, I was truly excited about this one. I have loved hip hop for as long as I can remember. From watching 106 and Park as a child, to listening to my older sister’s mixed cds, the legitimacy of hip hop was never a question in my life. Hip hop music is on the soundtrack of my life, as well as the soundtracks of many other black youth. Learning about it in an academic setting seemed like an experience that would enhance my understanding of the music.

When I walked into class on the first day, I was initially apprehensive. I had heard amazing things about this course, the material, and the professor, but the professor was a straight white man. I didn’t know if this was going to go great or Dear White People bad.

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IJFAB Blog Contributors Interviewed on Today Show On Love and Family When Disability or Difference are Part of the Picture
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Leah Smith is smiling joyously, wearing a maroon top with orange and white accents, and black pants. Joe sits on the right, with glasses and a beard and small smile, wearing a grey polo shirt and khaki pants. Leah and Joe each have a different form of dwarfism.

This screencap from the video of the July 17, 2018 episode of NBC’s Today Show shows Joe Stramondo on the right and Leah Smith on the left.

This morning, NBC’s Today Show featured a short piece on the lives of Leah Smith and Joe Stramondo. What the piece did not mention is their scholarship and advocacy work, focusing instead on their family life.  Both have contributed work, either singly or as co-authors, to IJFAB Blog and to IJFAB, and both are featured in the forthcoming documentary Far From the Tree based on Andrew Solomon’s book of the same name.

You can see their Today Show interview on family and parenting and happiness here, and here is a short clip from the film (this clip focuses on Smith and Stramondo).

Here is some of the work that Joe and Leah have written together for IJFAB Blog:

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And here is just some of Joe’s solo work in bioethics and philosophy.

 

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Pedagogy PART 2: When Privileged Teachers Set Out to Teach About Privilege To (mostly) Privileged Students
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Editor’s Note: As part of our mini-series on pedagogy–which kicked off with Kate MacKay’s reflection last week on unyielding dogmatism in the classroom–IJFAB Blog features a two-part consideration by a professor and a student on issues arising from classes in which the material is generated primarily by people who have an identity which the professor does not occupy. In their case, the class was on rap and the professor was white with no experience generating rap. We might equally consider classes on feminist theory in which the professor is male, classes on queer theory in which the professor is straight and cisgender, classes on disability where the professor has none and has had none, and so forth. Part 2 of our series posts on July 16, 2018 and features the professor perspective from  Stephen Bloch-Schulman; it refers to Part 3 which will feature the student perspective and be available on July 18, 2018. Bloch-Schulman considers the demographics of his college but also of his classrooms, the problem of teaching about racism in a classroom in which there may only be one person who is a member of a minority group, the problem of the authorship of texts used in most courses being overwhelmingly white straight cisgender male of European descent, and other issues.

I teach at a school that Lisa Heldke would describe as a Persistently White Institution (Heldke 2004) and one that has very little economic diversity, even compared to other PWI’s of its own ilk (New York Times 2017).[1]

Demographic statistics from Elon University’s Admissions webpage. Only 19% of students at Elon are students of color, with 81% being white non-hispanic. Only 6% of Elon students are African-American. In the US, according to the US Census, 12.3% of the US population is African-American, and 61.3% are white non-hispanic. In 2015, 14% of all enrolled college students in the US were African-American and 58% were white. So, Elon is less racially diverse than not only the US general population but also US enrolled college students.

 

I have long described our students as “at risk students”: at risk of having tremendous privilege and using it to make the world worse. I was too, when I went to college at another exclusive PWI. Knowing about Elon, my friend Donna Engelmann, who teaches at Alverno College (a very different type of institution) is constantly reminding me how important critical pedagogy is and how much it is needed at schools like Elon. The students at Elon are very likely, she reminds me, to have jobs and lives that put them in positions of power and it is imperative that they learn how to alleviate, or at least not exacerbate, the injustices that persist in our country and world. With this in mind, and in light of my own privileges as a cis-straight, able-bodied white settler man, I set out to become the kind of teacher Engelmann implies: one who can help privileged students think carefully about their role and responsibility in light of these injustices.

Elon students, however, can be quite reluctant to learn such messages. They are likely to fall into one or two related forms of ignorance. The first is nicely described by Liam Kofi Bright on his blog, The Sooty Empiric, where he coins the “Informal Omega Inconsistency” (named after Carnap), which

is when people agree to a general (existential) claim but will stubbornly deny or remain absurdly sceptical as to every particular instance of it you produce. So, somebody may well agree that there are bad drivers in Pennsylvania—but every time one points to a particular erratic person on the road in the state they will say that no, no, this is not a bad driver, this is someone whose car has suddenly and inexplicably stopped working, or is cursed, or is at least they will not believe it is a bad driver till these possibilities have been ruled out, or… whatever. Just for some reason every instance that might witness the existential claim granted turns out not to be granted as an actual instance, no matter what lengths must be gone to deny as much (Bright 2016).

Interestingly, while this happens, the reverse also happens; many Elon students exhibit what I might call, after Marilyn Frye, the Birdcase Inconsistency: students are willing to admit that “in this particular case there is problem X,” and this same problem appears in case after case, but somehow, all of these cases never add up to the general claim: we live in a community with problem X.

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Pedagogy PART 1: Ideology vs. Philosophy
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Editor’s Note: Many IJFAB Blog readers spend a good part of their lives in teaching settings, doing pedagogy as teacher or learner or co-inquirer. Some are clinician educators (nurse educators or physicians working with residents and medical students), others are academic professors and instructors, and still others are students or learners in some other capacity, perhaps even as clinicians pursuing continuing education credits for licensing requirements. Kate MacKay brings us the first in a pedagogy mini-series which will address some issues that IJFAB Blog readers may want to reflect upon. MacKay considers the issue of students who come to classrooms with unyielding dogmatism in their satchels.

This year, in teaching a senior-year depth-study course in political theory, I encountered students I hadn’t encountered before. These were young white men who were longing for the days of the Greco-Roman empire, but also for they heyday of dominant Christianity, and the popular music of Mozart. To be frank, it isn’t clear what these students want the world to be like, or where they sit on the traditional (but rapidly warping) political spectrum. In the course, we read Rawls’ Theory of Justice, and Young’s Justice and the Politics of Difference. As a feminist and a philosopher, I’m accustomed to argument – sometimes heated – in classes or academic talks. However, though I’m comfortable with confrontation in philosophical ideas and debate, I was caught off-guard by these students’ ideologies of prejudice and hate, and by their method of communicating with me and other students.

On the content of the students’ views, I think I need say very little. There was nothing new in them – in fact, the ideas they expressed are very, very old (even ancient). On the method of expression, however, there are few things to say. From the perspective of trying to teach these particular students, and to engage in discussions that were helpful for all the students in the class, their style of expression is near the heart of the matter.

These students typically presented their ideas in seminars in a ‘Gish Gallop’.

This image shows Emperor Palpatine from the Star Wars films, grinning from beneath his black robes. He says “I feel the Gish Gallop is strong with this one”, just as in the film he planned to turn Luke Skywalker to the dark side of the Force.

The Gish Gallop is an extension of the ‘on the spot’ fallacy, whereby a person presents a long string of loosely-connected claims, some vaguely empirical and some normative, effectively burying their interlocutor with something that sounds like an argument (but isn’t) and cannot be refuted without much time Text reads "The Gish gallop is a debate tactic that uses a rapid-fire approach to flood the opponent with so many lies or flawed arguments that it becomes impossible to counter each one and make a counterpoint. It's named for Duane Gish, a prominent voice within the creationist movement who was notorious for the way he "relied on the confrontation" of debates with evolutionary biologists."and effort because of the nature and amount of the claims made. In the setting of a seminar, where my goal as a teacher was to speak as little as possible, the gallop meant that I, as interlocutor and moderator, had to select one or two of the most egregious claims included in the gallop to respond to or rebut, effectively allowing the other claims to be entered into the stock of public (classroom) knowledge, unchallenged.

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