Lauren Freeman

Microaggressions in Medicine demonstrates that the harms of microaggressions are anything but micro. Guided by diverse patient testimonies and case studies, the book focuses on harms experienced by patients who are marginalized on the basis of race, gender, sexual orientation, body size, and disability. It amplifies their voices, stories, and experiences, which have too often been excluded from mainstream bioethical, medical, and popular discussions. The novel account advanced in Microaggressions in Medicine illustrates that microaggressions in medicine are not rare, but frequent in the healthcare experiences of marginalized patients. Our hope is that the book helps patients better understand and make sense of... Read More.

We are grateful and humbled that this esteemed group of scholars and healthcare practitioners have dedicated the time to read and engage with our book. Their thoughtful, critical comments have given us new ways of reflecting on our own work, compelled us to develop and expand some of our claims, and have also nudged us to move in new directions that we hope to explore in future research. In what follows, we reply to each of the commentaries, focusing on what we take to be the most central insights, critiques, and areas for further exploration from each contribution.Catherine Sherron (2024) offers an expansive commentary on chapter 4, "Epistemic Microaggressions," focusing on the nature of epistemic agency... Read More.

Phenomenology's central insight is that affectivity is not an inconsequential or contingent characteristic of human existence. Emotions, moods, sentiments, and feelings are not accidents of human existence. They do not happen to happen to us. Rather, we exist the way we do because of and through our affective experiences. Phenomenology thus acknowledges the centrality and ubiquity of affectivity by noting the multitude of ways in which our existence is permeated by our various affective experiences. Yet, it also insists that such experiences are both revealing and constitutive of human nature. It is precisely this last point that marks an important distinction between a phenomenological study of affectivity and perhaps all others. For phenomenology, one cannot understand the nature of human existence without coming to terms with the character of affectivity and at the same time, one cannot come to terms with the character of affectivity without understanding the nature of human existence. Practical and social engagements, scientific endeavors, familial and political interactions are all predicted on the fact that we are beings who are capable of being affectively attuned to ourselves, to the world, and to others. In this entry, we discuss Martin Heidegger's and Jean-Paul Sartre's respective accounts of affectivity. In the first section, we present Heidegger's understanding of affective existence. In this context, we discuss the significance of moods and offer an analysis of the affective phenomena of fear, anxiety, and boredom. In the second section, we present an overview of Sartre's account of emotions and advance a Sartrean interpretation of fear and boredom. We conclude by raising some brief concerns with both accounts.

Damon Tweedy is a psychiatrist, lawyer, and writer. He's also Black. While in his first year as a medical student at Duke University, one of his professors approached him in the classroom and asked why the light bulb in the room hadn't been changed, as requested. Tweedy realized that his professor assumed he was a maintenance worker, not a student. Tweedy never took up this incident with the professor, nor did the professor ever apologize. Tweedy recounts that his best "revenge" would be to excel in the class, which he ultimately did. At the end of the semester, upon learning that Tweedy received the second highest grade of over one hundred students, this professor invited him to work as a research assistant in his...

In ‘Affectivity in Heidegger I: Moods and Emotions in Being and Time’, we explicated the crucial role that Martin Heidegger assigns to our capacity to affectively find ourselves in the world. There, our discussion was restricted to Division I of Being and Time. Specifically, we discussed how Befindlichkeit as a basic existential and moods as the ontic counterparts of Befindlichkeit make circumspective engagement with the world possible. Indeed, according to Heidegger, it is primarily through moods that the world is ‘opened up’ and revealed to us as a world that is suffused with values and entities that already matter to us. In this companion essay, our aim is to expand our analysis of affectivity in the following ways: first, we revisit our discussion of Befindlichkeit in light of Heidegger's discussion of temporality in Division II of BT; second, we discuss the basic or fundamental mood of boredom and its ontological significance; we conclude by providing a brief characterization of how Heidegger's notion of mood changes in his later thinking

Phenomenology, perhaps more than any other single movement in philosophy, has been key in bringing emotions to the foreground of philosophical consideration. This is in large part due to the ways in which emotions, according to phenomenological analyses, are revealing of basic structures of human existence. Indeed, it is partly and, according to some phenomenologists, even primarily through our emotions that the world is disclosed to us, that we become present to and make sense of ourselves, and that we relate to and engage with others. A phenomenological study of emotions is thus meant not only to help us to understand ourselves, but also to allow us to see and to make sense of the meaningfulness of our worldly and social existence.Within the last few decades, the emotions have re-emerged more generally as a topic of great philosophical interest and importance. Philosophers, along with psychologists, cognitive scientists, and neuroscientists have engaged in inter- and intra-disciplina ..

This essay provides an analysis of the role of affectivity in Martin Heidegger's writings from the mid to late 1920s. We begin by situating his account of mood within the context of his project of fundamental ontology in Being and Time. We then discuss the role of Befindlichkeit and Stimmung in his account of human existence, explicate the relationship between the former and the latter, and consider the ways in which the former discloses the world. To give a more vivid and comprehensive picture of Heidegger's account of mood, we focus on the experience of anxiety by articulating both its function within fundamental ontology and, relatedly, its revelatory nature. We conclude by considering the place of emotions in Heidegger's thinking from this period. In a companion essay, ‘Affectivity in Heidegger II: Temporality, Boredom, and Beyond’, we complement our present analysis by revisiting the issue of affectivity in terms of Heidegger's discussion of temporality in Division II of Being and Time. We also expand our present discussion by considering the fundamental mood of boredom and other specific moods that Heidegger considers within his later thinking

This essay argues that the discrimination that fat patients face is an issue of health justice. Insofar as this is the case, bioethicists and health care providers should not only care about it but also work to dismantle the systematic, institutional, social, and individual factors that are contributing to it to ensure that fat patients receive high‐quality health care, free of stigma and discrimination. The essay discusses a variety of ways in which fat patients are discriminated against and considers the false assumptions that fuel such discrimination. It concludes by considering the structural and social issues that contribute to fatness and pushes health care providers to abandon the assumption that being fat is an individual moral failing. Ultimately, the paper argues, “fat” is not necessarily a bad word, nor one that health care providers should avoid.

This is the first book to offer a philosophical engagement with microaggressions. It aims to provide an intersectional analysis of microaggressions that cuts across multiple dimensions of oppression and marginalization, and to engage a variety of perspectives that have been sidelined within the discipline of philosophy. The volume gathers a diverse group of contributors: philosophers of color, philosophers with disabilities, philosophers of various nationalities and ethnicities, and philosophers of several gender identities. Their unique frames of analysis articulate both how the concept of microaggressions can be used to clarify and sharpen our understanding of subtler aspects of oppression and how analysis, expansion, and reconceiving the notion of a microaggression can deepen and extend its explanatory power. The essays in the volume seek to defend microaggressions from common critiques and to explain their impact beyond the context of college students. Some of the guiding questions that this volume explores include, but are not limited to, the following: Can microaggressions be established as a viable scientific concept? What roles do microaggressions play in other oppressive phenomena like transphobia, fat phobia, and abelism? How can epistemological challenges around microaggressions be addressed via feminist theory, critical race theory, disability theory, or epistemologies of ignorance? What insights can be gleaned from intersectional analyses of microaggressions? Are there domain-specific analyses of microaggressions that would give insight to features of that domain, i.e. microaggressions related to sexuality, athletics, immigration status, national origin, body type, or ability. Microaggressions and Philosophyfeatures cutting-edge research on an important topic that will appeal to a wide range of students and scholars across disciplines. It includes perspectives from philosophy of psychology, empirically informed philosophy, feminist philosophy, critical race theory, disability theory, philosophy of language, philosophy of science, and social and political philosophy.

Martin Heidegger is often credited as having offered one of the most thorough phenomenological investigations of the nature of boredom. In his 1929–1930 lecture course, The Fundamental Concepts of Metaphysics: World, Finitude, Solitude, he goes to great lengths to distinguish between three different types of boredom and to explicate their respective characters. Within the context of his discussion of one of these types of boredom, profound boredom [tiefe Langweile], Heidegger opposes much of the philosophical and literary tradition on boredom insofar as he articulates how the experience of boredom can be existentially beneficial to us. In this chapter, we undertake a study of the nature of profound boredom with the aim of investigating its place within contemporary psychological and philosophical research on boredom. Although boredom used to be a neglected emotional experience, it is no more. Boredom’s causal antecedents, effects, experiential profile, and neurophysiological correlates have become topics of active study; as a consequence, a proliferation of claims and findings about boredom has ensued. Such a situation provides an opportunity to scrutinize Heidegger’s claims and to try to understand them both on their own terms and in light of our contemporary understanding of boredom.

[We] perform the cultural work of fitting individuals into categories; yet the active labor that goes into making sex appear dichotomous is generally invisible to the broader society, or at least rarely remarked upon.Wording matters. It doesn’t just affect a person’s willingness to check the box and be counted—it also highlights the existence of those identities. Perhaps if we weren’t so regularly confronted with a simple choice—“Are you male or female?”—our thinking about gender wouldn’t be so binary.To be sure, there are truths about bodies.Yet such truths can be expressed without the notion of sex.Contrary to what many people believe, the classificatory system by which sexes are neatly divided into the two...

For a variety of reasons, it's difficult to determine, with any accuracy, the number of trans and gender nonbinary folks living in the United States.1 Data are difficult to obtain since neither the U.S. Census Bureau nor the Centers for Disease Control and Prevention survey people's gender identity. But even if they did, responses would likely be unreliable. Many members of these two groups are hesitant to answer such questions for fear of their safety, resulting discrimination, or because they disagree on the definition of what it means to be transgender. It's also difficult to obtain accurate numbers on these groups since most medical forms still rely on a two-sex system of...

This article argues that notwithstanding Martin Heidegger’s explicit intentions to the contrary, his existential analysis in Being and Time provides more than the mere conditions for the possibility of ethics. More specifically, Heidegger’s account of solicitude, where he distinguishes between leaping in for and leaping ahead of the other, can be read as an account of recognition that has normative implications. This account is developed in light of both Charles Taylor and Axel Honneth’s positions on recognition. It is concluded that Heidegger’s phenomenological elaboration of recognition goes beyond the transcendental aspect of his project of fundamental ontology

By applying classical and contemporary insights of the phenomenological tradition to key findings within the literature on stereotype threat, this paper considers the embodied effects of everyday exposure to racism and makes a contribution to the growing field of applied phenomenology. In what follows, the paper asks how a phenomenological perspective can both contribute to and enrich discussions of ST in psychology. In answering these questions, the paper uses evidence from social psychology as well as first personal testimonies from members of marginalized groups to argue that subjectively experienced racial oppression is embodied and thus has effects on selfhood that are harmful. More specifically, it makes the case that what are most often considered to be temporary or context-based consequences of ST are in fact more wide reaching and harmful than assumed in that the harms that result from suffering ST become a part of one’s identity, and thus a background lens through which one experiences the world.

Martin Heidegger's account of attunement [Befindlichkeit] through mood [Stimmung] is unprecedented in the history of philosophy and groundbreaking vis-à-vis contemporary accounts of emotion. On his view, moods are not mere mental states that result from, arise out of, or are caused by our situation or context. Rather, moods are fundamental modes of existence that are disclosive of the way one is or finds oneself [sich befinden] in the world. Mood is one of the basic modes through which we experience the world and through which the world is made present to us. Moreover, moods are the lenses through which things, people, animals, events, and aspects in the world matter to us. In this paper, I make the case that Heidegger's insights with respect to mood can and ought to be extended beyond the narrow scope of his fundamental ontology in which they were developed. I argue that contemporary accounts of mood within psychology ought to take these Heideggerian insights seriously and use them when defining, studying, evaluating, and drawing conclusions about the nature of moods. There are three sections to my paper. In section 1, I delineate Heidegger's account of mood. In section 2, I turn to some key studies on mood in psychology, and I elaborate upon some of the main shortcomings in this literature. In section 3, I suggest how psychology might benefit from understanding and utilizing a Heideggerian-inspired phenomenology of mood.

An important shift occurs in Martin Heidegger’s thinking one year after the publication of Being and Time , in the Appendix to the Metaphysical Foundations of Logic . The shift is from his project of fundamental ontology—which provides an existential analysis of human existence on an ontological level—to metontology . Metontology is a neologism that refers to the ontic sphere of human experience and to the regional ontologies that were excluded from Being and Time. It is within metontology, Heidegger states, that “the question of ethics may be raised for the first time.” This paper makes explicit both Heidegger’s argument for metontology , and the relation between metontology and ethics. In examining what he means by “the art of existing,” the paper argues that there is an ethical dimension to Heidegger’s thinking that corresponds to a moderate form of moral particularism. In order to justify this position, a comparative analysis is made between Heidegger, Aristotle, and Bernard Williams

This paper brings feminist public health ethics and feminist analytic tools to bear on mainstream medical research. Specifically, it uses these approaches to call attention to several problems associated with “The Placenta Harbors a Unique Microbiome,” a recent study published in Science Translational Medicine. We point out the potential negative consequences these problems have for both women’s health and their autonomy.Our paper has two parts. We begin by discussing the study, which examines the composition of the placental microbiome, that is to say, the communities of microorganisms that live in the placenta. Among other things, this study considers two different relations: a correlation..

Abstract This paper examines a convergence between Heidegger's reconceptualization of subjectivity and intersubjectivity and some recent work in feminist philosophy on relational autonomy. Both view the concept of autonomy to be misguided, given that our capacity to be self-directed is dependent upon our ability to enter into and sustain meaningful relationships. Both attempt to overturn the notion of a subject as an isolated, atomistic individual and to show that selfhood requires, and is based upon, one's relation to and dependence upon others. The paper argues that Heidegger's notion of authentic Mitsein (being-with) rejects traditional notions of autonomy and subjectivity in favor of a relational model of selfhood. Ultimately, it provides a new point of entry into contemporary debates within feminist philosophy on Heidegger's thinking and defends Heidegger from certain feminist critiques

This paper demonstrates how the problematic kinds of epistemic power that physicians have can diminish the epistemic privilege that pregnant women have over their bodies and can put them in a state of epistemic powerlessness. This result, I argue, constitutes an epistemic injustice for many pregnant women. A reconsideration of how we understand and care for pregnant women and of the physician–patient relationship can provide us with a valuable context and starting point for helping to alleviate the knowledge/power problems that are symptomatic of the current system and structure of medicine. I suggest that we can begin to confront this kind of injustice if medicine adopts a more phenomenological understanding of bodies and if physicians and patients—in this case, pregnant women—become what I call “epistemic peers.”