Bureaucracies of Blood and Belonging: Documents,HIV‐positive Youth and the State in South Africa

In response to its constitutional commitments and social welfare provisions in the era of democracy, the post‐apartheid South African state is increasingly called upon to provide for the lives and livelihoods of its citizens. These demands have intensified amid escalating joblessness and the highest numbers of people living with HIV worldwide. Over the past decade, antiretroviral treatment (ART) has been incorporated into an ever‐expanding welfare bureaucracy, in which access to state assistance is mediated by the collection and monitoring of biometric, bureaucratic data. Drawing on 18 months of ethnographic research in the Eastern Cape, this article explores how state documents bring young people on ART into an ambiguous relationship with the state — one that is at once subordinating and enabling. While social research on ART addresses both the empowering and coercive aspects of treatment taking, less attention has been given to how these modes of participation might be mutually constitutive. In this article, the authors examine how the same technologies that discipline youth on ART might also support and protect them; how welfare dependencies entail paradoxical forms of agency; and how the state's ability to control and to ‘care for’ citizens might be reciprocally dependent.     

“sche hungryd ryth sor aftyr Goddys word”: Female Piety and the Legacy of the Pastoral Programme in the Late Medieval English Sermons of Bodleian Library MS Greaves 54

The pastoral programme guiding the content of most Middle English sermons had a gendered side effect: it encouraged treating female parishioners as individual souls rather than emphasising the subordinate status of women. A close study of Bodleian Library MS Greaves 54, a fifteenth‐century pastoral manual containing two sequences of Middle English sermons, shows how these sermons reached out to women through gender‐inclusive language, pastoral directives that regarded women as distinct from men, and didactic narratives that both encouraged female participation in devotional activities as well as highlighting women as exemplars for all Christians. Thus Greaves 54 models how Middle English sermons could have appealed to ordinary women and affected their piety, even to the extent of encouraging the extreme devotional behaviour of Margery Kempe.     

The business of ethics: gender, medicine, and the professional codification of the American Physiotherapy Association, 1918-1935

The history of codes of ethics in health care has almost exclusively been told as a story of how medical doctors developed their own professional principles of conduct. Yet telling the history of medical ethics solely from the physicians' perspective neglects not only the numerous allied health care workers who developed their own codes of ethics in tandem with the medical profession, but also the role that gender played in the writing of such professional creeds. By focusing on the predominantly female organization of the American Physiotherapy Association (APA) and its 1935 "Code of Ethics and Discipline," I demonstrate how these women used their creed to at once curry favor from and challenge the authority of the medical profession. Through their Code, APA therapists engaged in a dynamic dialogue with the male physicians of the American Medical Association (AMA) in the name of professional survival. I conclude that, contrary to historians and philosophers who contend that professional women have historically operated under a gender-specific ethic of care, the physiotherapists avoided rhetoric construed as feminine and instead created a "business-like" creed in which they spoke solely about their relationship with physicians and remained silent on the matter of patient care.     

"Lonely, tragic, but legally necessary pilgrimages": transnational abortion travel in the 1970s

This article explores the work of the Calgary Birth Control Association with a particular focus on their referral service to help Albertan women obtain abortions in Seattle. The fact that Canadian women were travelling to the United States for abortions highlights the shortcomings of the Canadian health-care system and the legal changes in the 1969 omnibus bill. Cross-border travel is also compelling evidence for the argument that reproductive rights are an international issue. More particularly, this study demonstrates the tensions that reproductive-rights activists faced in addressing the needs of individual women vs the long-term objective of changing the laws and improving accessibility.     

Spinoza and architectural thinking

ABSTRACT

Although Spinoza makes few remarks about architecture, his use of architectural examples, understood in the context of his metaphysics and theory of knowledge, reveal the architect to be a distinctive kind of human thinker. In this paper I explore the kind of thinking the architect does, first by demonstrating that Spinoza distinguishes the architect's adequate way of conceiving a building from inadequate ways of imagining one, and second by considering how Spinoza might have understood the architect to translate that adequate thinking into the practice of building and construction. I argue that for Spinoza, the architect integrates imaginative, rational, and intuitive thinking, and the parallel forms of bodily action, to understand and construct a building in its causal connections to its component materials, environment, and users. To understand the true idea of a building is therefore to understand its embeddedness in the world and its functional place in a network of modal relations.