SOCL 1101 Lecture Notes - Lecture 14: Scientific Management, Physician, Heteronormativity

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Gender and “Objective” Science
Gender reaches into ‘objective’ social science, too
Epstein: deceptive distinctions
Positivists and quantitative sociologists value ‘rigorous,’ ‘robust,’ and
‘objective’ knowledge
Implicitly gendered rhetoric that depersonalizes other forms of
knowledge
Gender Discrimination and the NIH
Until the 1970s, most clinical trials included only men
1977 FDA directive recommended excluding women of childbearing age from
drug trials, even if they were single, using contraceptives, or if their husbands
had had vasectomies
1986: NIH established a policy that ‘encourages’ scientists to include women in clinical
trials
1990: congressional women’s caucus asked GAO to investigate how well NIH
implemented policy
Policy poorly communicated, inconsistently applied, applied only to extramural
research
GAO found NIH not encouraged investigators to stratify
Women’s Health Makes It onto NIH’s Agenda
1990: NIH established office of research on women’s health
1991: Bernadine Healy becomes first woman to head NIH
Funds 15 yr study on 150,000 postmenopausal women (women’s health
initiative)
WHI looked at HRT, dietary supplements (calcium, vitamin D) on heart disease,
fractures, cancer
Women who took HRT were at increased risk of heart disease, cancer, stroke
Then started rejecting hormone replacement therapy
Gender Inclusivity at NIH
1993: congress added language to NIH revitalization act requiring investigators to
include women and minorities
Yet, disparities remain
Consequences for Women’s Health
More women than men die of cardiovascular disease every year in the US
2005 study found that fewer than physicians knew this
2009 tufts study analyzed 911 callers and found that women more likely to get
less help when having a heart attack
Gender Inequality has been Institutionalized
Gender inequality has been institutionalized in the form of ‘patriarchy’ or institutionalized
male primacy
Women submit to control by men
Equates authority with masculinity
Devalues feminine as closer to nature
Binary gender
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Document Summary

Gender reaches into objective" social science, too. Positivists and quantitative sociologists value rigorous," robust," and. Implicitly gendered rhetoric that depersonalizes other forms of knowledge. Until the 1970s, most clinical trials included only men. 1977 fda directive recommended excluding women of childbearing age from drug trials, even if they were single, using contraceptives, or if their husbands had had vasectomies. 1986: nih established a policy that encourages" scientists to include women in clinical trials. 1990: congressional women"s caucus asked gao to investigate how well nih implemented policy. Policy poorly communicated, inconsistently applied, applied only to extramural research. Gao found nih not encouraged investigators to stratify. 1990: nih established office of research on women"s health. 1991: bernadine healy becomes first woman to head nih. Funds 15 yr study on 150,000 postmenopausal women (women"s health initiative) Whi looked at hrt, dietary supplements (calcium, vitamin d) on heart disease, fractures, cancer. Women who took hrt were at increased risk of heart disease, cancer, stroke.

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