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	<title>rhetoricat &#187; activista cat</title>
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	<link>http://www.catshuler.com/blog</link>
	<description>thoughts of a feminist rhetorician</description>
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		<title>bell hooks and the challenges of teaching in higher ed</title>
		<link>http://www.catshuler.com/blog/2010/02/23/bell-hooks-and-the-challenges-of-teaching-in-higher-ed/</link>
		<comments>http://www.catshuler.com/blog/2010/02/23/bell-hooks-and-the-challenges-of-teaching-in-higher-ed/#comments</comments>
		<pubDate>Tue, 23 Feb 2010 19:51:57 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[as a scholar]]></category>
		<category><![CDATA[teacherly me]]></category>
		<category><![CDATA[this is what a feminist looks like]]></category>
		<category><![CDATA[african american history]]></category>
		<category><![CDATA[feminists]]></category>
		<category><![CDATA[higher education]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=207</guid>
		<description><![CDATA[Though the month is nearing its end, I wanted to take a moment to acknowledge some of the amazing African-American thinkers and visionaries who have influenced my life. It&#8217;s unfortunate that we need to designate a month to ensure that topics that should be covered year long get mentioned.  Many have argued this same point, [...]]]></description>
			<content:encoded><![CDATA[<p><span class="dropcap">T</span>hough the month is nearing its end, I wanted to take a moment to acknowledge some of the amazing African-American thinkers and visionaries who have influenced my life. It&#8217;s unfortunate that we need to designate a month to ensure that topics that should be covered year long get mentioned.  Many have argued this same point, including someone I greatly admire&#8211;<a href="http://www.southendpress.org/authors/46">bell hooks</a>. An African-American feminist teacher, hooks has inspired me with her progressive pedagogy and her unfailing willingness to venture into waters that many scholars avoid, such as the topic of love. I had the great pleasure of meeting her at the 2004 NCTE convention in Indianapolis and the even greater pleasure of discussing how love is ignored as a scholarly and pedagogically relevant subject. Her work on feminism, pedagogy, racism, and diversity have nourished me in my academic career. Her consistent commitment to accessibility has not only proven inspirational but has encouraged me to maintain my own commitment to making academic work and theory accessible to those outside of academia. hooks&#8217; works are consistently easy to read and understand, accessible to multiple audiences, even as they express complex ideas and theories. Unlike theorists who preach accessibility while writing jargon-laden articles and books, bell hooks practices the kind of accessibility that she preaches. She manages to convey complex ideas to a broad audience without sacrificing quality, something that I also try to accomplish in my work as a teacher and scholar.</p>
<p>Since I am particularly fond of student generated media, here is a short YouTube video created in honor of bell hooks. (Point #7 is particularly relevant to Black History Month.)</p>
<p><object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="480" height="385" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/1FbSTI7U4vU&amp;hl=en_US&amp;fs=1&amp;rel=0" /><param name="allowfullscreen" value="true" /><embed type="application/x-shockwave-flash" width="480" height="385" src="http://www.youtube.com/v/1FbSTI7U4vU&amp;hl=en_US&amp;fs=1&amp;rel=0" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
<p>A <a href="http://www.youtube.com/watch?v=GE87baFz0I4">recent talk</a> that bell hooks gave at Burton Street Community Center and Peace Gardens in Asheville, NC is also on YouTube. In her talk, she discusses community, technology, gender, and race and reads from one of her children&#8217;s books <em><a href="http://www.dollslikeme.com/store/p/2967-Be-Boy-Buzz.html">Be Boy Buzz</a>. </em>She ends her talk with the following: &#8220;In Buddhism we talk about the fact that the earth is my witness. So, we are here today to witness together the need to build community on all levels, to remember that community is not one-dimensional, to remember that we can come together in many different fronts and be together and belong.&#8221;</p>
<p>hooks&#8217; scholarship and perspectives on community have been instrumental in my dissertation research. They have continued to encourage my belief in participatory research and education. Her book <em><a href="http://www.amazon.com/Teaching-Transgress-Education-Practice-Freedom/dp/0415908086">Teaching to Transgress: Education as the Practice of Freedom</a> </em>profoundly influenced <a href="http://catshuler.com/portfolio/teachingphilosophy">my own pedagogical approaches</a> and introduced me to the <a href="http://www.infed.org/thinkers/et-freir.htm">Pauolo Freire&#8217;s &#8220;liberatory pedagogy.&#8221;</a> I have continued to follow her work with great interest.</p>
<p>In a discussion with <a href="http://www.mediaed.org">The Media Education Foundation</a>, hooks talks about how &#8220;popular culture is where the pedagogy is; it is where the learning is&#8221; revealing how her interest in analyzing pop culture arose out of her experiences in the classroom. Students had difficulty understanding concepts of difference and otherness and how these were relevant to their lives, but when discussed in the context of films or tv shows, the students were better able to grasp the concepts. Part one of her discussion is included below:</p>
<p><object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="480" height="385" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/zQUuHFKP-9s&amp;hl=en_US&amp;fs=1&amp;rel=0" /><param name="allowfullscreen" value="true" /><embed type="application/x-shockwave-flash" width="480" height="385" src="http://www.youtube.com/v/zQUuHFKP-9s&amp;hl=en_US&amp;fs=1&amp;rel=0" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
<p>An additional point that I appreciate here is her insistence upon the importance of critical thinking for <em>all </em>people and how the ability to think critically is an important tool that can make a difference in the lives of everyone, regardless of their material wealth or class status.</p>
<blockquote><p>The most enabling resource that I can offer as a critic or an intellectual professor is the capacity to think critically about our lives. I think thinking critically is at the heart of anybody transforming their life and I really believe that a person who thinks critically who, you know, may be extraordinarily disadvantaged materially can find ways to transform their lives that can be deeply and profoundly meaningful in the same way that someone who may be incredibly privileged materially and in crisis in their life may remain perpetually unable to resolve their life in any meaningful way if they don’t think critically.</p></blockquote>
<p>In addition hooks speaks against this idea that certain students should only be taught what are considered &#8220;practical skills&#8221; that they can use to get a job and make money. She doesn&#8217;t claim that this is unimportant; she simply emphasizes the importance of critical thinking as a tool <em>and </em>the right to learn it. Having taught in the Ivy League and at open admissions universities, hooks notes that the distinction between the students at the two types of schools is mostly based on their perception of their future:</p>
<blockquote><p>My students were equally brilliant when I taught in Harlem as when I taught at Yale or Oberlin, but that their senses of what the meaning of that brilliance was and what they could do with it, their sense of agency was profoundly different&#8230;.They don’t have that imagination into a future of agency and as such I think  many professors do not try to give them the gift of critical thinking. In a certain kind of patronizing way education just says all these people need is tools for survival, basic survival tools, like their degree so they can get a job and not in fact that we enhance their lives in the same way we’ve enhanced our lives by engaging in a certain kind of critical process.</p></blockquote>
<p>The points that hooks makes here are some that I have struggled with myself. It&#8217;s crucial that we find the balance between equipping students with the skills that they expect to learn in order to find a job. The reality is that most students enter higher education with the objective of attaining a job, specifically one that is higher paying than the one they would get with a high school education. When I chose to go to college, while I certainly expected to get a job, my primary motivation was to learn knew things. I was lucky to have already been instilled with a belief in the importance of critical thinking and perhaps more importantly with the belief that it was my right to learn these things. (hooks mentions that Yale students feel entitled to that kind of learning in a way that her Harlem students do not.) I was also privileged enough that for me higher education was a given; I never doubted that I could and would go to college. Many of my students at Purdue have had similar experiences though it seems that most of them entered college with attaining a well-paying job as a primary objective. As educators we are faced with the challenge of meeting the wants and needs of our students as they perceive them and as we perceive them.</p>
<p>Ultimately, I believe that teaching critical thinking skills and the more &#8220;practical&#8221; on-the-job skills expected by our students are not incompatible goals. As educators we have the responsibility of providing students with the education that they want while maintaining our goals as teachers. Much of the challenge that arises here has much to do with not wanting to assume that we want to teach our students is more important than what they want to learn. The important point to recognize is that we have been educated and trained to know (or determine) what &#8220;global&#8221; tools that they need to learn the more specific or &#8220;local&#8221; tools. Teaching students how to think critically is a way of teaching them how to learn new things on their own. If we equip them with the global tools that they need in order to make learning a lifelong enterprise, we give them the gift of education and not just training. At the same time, if we are to successfully teach them the global tools, we must demonstrate how these tools can be translated into learning the skills that they seek. The important thing to recognize is that we can&#8217;t teach them all of the skills that they need for the workplace and the world, but we can help them learn the tools that they can use to continue to learn those skills beyond our classroom. The point that I am trying to make is that we cannot and should not choose critical thinking over workplace skills or vice-versa. Instead we should create curricula that enable the learning of both. It&#8217;s analogous to the way that we teach revision in writing. Students work from global concerns such as content, clarity, organization, etc. to more local concerns such as grammar, punctuation, and editing. A grammatically correct piece of writing is of little use if it is not clearly written, well-organized, and contains well-researched and carefully considered content. In the same way, skills are only effective if they are accompanied by an understanding of how the skills can be used and are learned.</p>
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		<title>apparently I am researching a myth</title>
		<link>http://www.catshuler.com/blog/2010/02/09/apparently-i-am-researching-a-myth/</link>
		<comments>http://www.catshuler.com/blog/2010/02/09/apparently-i-am-researching-a-myth/#comments</comments>
		<pubDate>Tue, 09 Feb 2010 19:17:09 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[as a scholar]]></category>
		<category><![CDATA[human rights]]></category>
		<category><![CDATA[ptsd]]></category>
		<category><![CDATA[sexual abuse]]></category>
		<category><![CDATA[trauma]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=162</guid>
		<description><![CDATA[According to a recent book by Susan Clancy, The Trauma Myth, childhood sexual abuse is not traumatizing. In fact, according to Clancy, children may even enjoy it. Let me begin with this caveat: I have not actually read Clancy&#8217;s book. I read the Salon.com interview discussing her book. While Clancy is clear to point out [...]]]></description>
			<content:encoded><![CDATA[<p><span class="dropcap">A</span>ccording to a recent book by Susan Clancy, <em>The Trauma Myth</em>, childhood sexual abuse is not traumatizing. In fact, according to Clancy, children may even enjoy it. Let me begin with this caveat: I have not actually read Clancy&#8217;s book. I read the <a href="http://www.salon.com/books/int/2010/01/18/trauma_myth_interview/index.html">Salon.com interview</a> discussing her book. While Clancy is clear to point out that sex with children is a crime, her primary argument is that it does not result in trauma or PTSD. This is the &#8220;myth&#8221; she is referring to. According to Clancy</p>
<blockquote><p>Most victims do not understand they are being victimized, because they are too young to understand sex, the perpetrators are almost always people they know and trust, and violence or penetration rarely occurs.</p></blockquote>
<p>My first response to this is: of course they don&#8217;t understand that they are being victimized, they&#8217;re children and since, as Clancy notes, the abuse is usually perpetrated by people (and I would add &#8220;adults&#8221;) that they trust, they may very well think that it&#8217;s normal. Not consciously knowing that one is being victimized is quite distinct from the reality of being victimized. Many children who experience physical abuse at the hands of parents are also frequently unaware that they are being victimized. Quite simply, if it is the norm in their household, they assume that it is the norm in all households. Does this make the abuse less &#8220;wrong&#8221; or traumatizing? Furthermore, I wonder how Clancy defines &#8220;violence.&#8221; I would argue that all acts of sexual abuse are violent by nature. Perhaps these children aren&#8217;t being beaten, but they are certainly being coerced and forced to do something that they cannot freely consent to.</p>
<p>According to her interview, Clancy does believe that childhood sexual abuse is harmful but that the resulting psychological state is not traumatic. She cites the fact that few people seek treatment for the abuse in adulthood and that most of them first describe the experience as &#8220;confusing,&#8221; which she says is &#8220;a far cry from trauma.&#8221; She also notes that shame is part of the reason people don&#8217;t come forward about their sexual abuse. This is one of the few points that we agree on. However, Clancy argues that the shame isn&#8217;t so much a result of the abuse but rather that victims don&#8217;t see their responses as consistent with what they see portrayed in the media and pop culture. In other words, their response to the abuse isn&#8217;t identical to cinematic representations, etc. I disagree. The shame does not come from the fact that their responses may be different from those of others (although that may be a factor; I can&#8217;t say since I&#8217;ve seen no research on this) but is instead the result of feeling as though they are somehow to blame for the abuse.</p>
<p>I&#8217;m trying to not have a knee-jerk reaction to her argument, but knowing what I know makes that difficult. I&#8217;m sure that this is something I share with other researchers and survivors. Unfortunately, many of the comments posted on the Salon site reflect agreement with her argument. Certainly there are those who disagree and they have posted their refutations, but I am saddened by the number of people who dismiss the traumatizing effects of childhood sexual abuse.</p>
<p>In all honestly, I will probably not read Clancy&#8217;s book. I have neither the time nor inclination. This is a song that, sadly, I have heard before.</p>
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		<title>why I fight</title>
		<link>http://www.catshuler.com/blog/2010/02/08/why-i-fight/</link>
		<comments>http://www.catshuler.com/blog/2010/02/08/why-i-fight/#comments</comments>
		<pubDate>Tue, 09 Feb 2010 00:35:09 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[as a scholar]]></category>
		<category><![CDATA[blogging]]></category>
		<category><![CDATA[ptsd]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[trauma]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=154</guid>
		<description><![CDATA[And when I say fight, I mean research and write. For me, fighting (in the sense of working to accomplish something) is particular to who I am&#8211;a scholar, a writer, a teacher. As many of you know (or will discover from reading my blog), my research deals with psychological trauma. I research trauma because I [...]]]></description>
			<content:encoded><![CDATA[<p><span class="dropcap">A</span>nd when I say fight, I mean research and write. For me, fighting (in the sense of working to accomplish something) is particular to who I am&#8211;a scholar, a writer, a teacher. As many of you know (or will discover from reading my blog), my research deals with psychological trauma. I research trauma because I believe that the people who have experienced trauma matter. That they deserve to have their voices heard. That their experiences have not been in vain.</p>
<p>While watching <a href="http://www.imdb.com/title/tt0945886/">a rerun</a> of one of my favorite television shows, <a href="http://www.cbs.com/primetime/criminal_minds/">Criminal Minds</a>, something important occurred to me. My research focuses on those who experience what I call &#8220;personal&#8221; traumas. All trauma is personal, so when I say &#8220;personal trauma&#8221; I mean people who have experienced trauma as a result of individual acts of violence like sexual assault, childhood abuse, and domestic violence. One of the reasons that I focus on them is because of the stigma that is still associated with these traumas. For a long time all traumas and their aftermath, PTSD, were stigmatizing. Soldiers returning from war were seen as malingerers rather than as victims of the trauma of war. Since Vietnam PTSD has become a recognized psychological disorder and since the wars in Afghanistan and Iraq, there is greater public awareness of psychological trauma and with that awareness comes less stigma. However, it is important to note that the lessening of stigma does not alleviate the pain of trauma. The pain is real; it remains a living memory that haunts the individual who has experienced it. People who experience trauma during &#8220;public&#8221; acts of violence, like war and terrorist events such as 9/11, are more accepted as &#8220;real&#8221; sufferers. Their stories are less taboo, and their experiences tend to be validated more. Validation certainly helps. In fact, validation and awareness help to alleviate some of the sense of alienation felt by those who have experienced trauma. In spite of that, the reality of the trauma and the suffering that it engenders does not go away.</p>
<p>The fact that I focus on personal traumas and thus do <em>not </em>focus on the trauma of war compels me to write this post. While I am not researching and writing about soldiers and veterans who blog about trauma, their experiences are not unimportant to me. In fact, one of the reasons that my dissertation deals with blogging about trauma is due to reading the blogs of soldiers and talking to them. My original dissertation idea actually focused on veterans. I wanted to study narrative ability in people who&#8217;ve experienced trauma, and I hoped to conduct my study through the VA. Unfortunately, my qualifications do not include a PhD in Psychology, and the IRB isn&#8217;t keen on letting rhetoricians study protected populations. As a result, I returned to an earlier research idea conceived when I began stumbling on trauma blogs. I was researching blogging and continuing my research on trauma when the two somehow converged. I became interested in this <a href="http://publicsphere.ssrc.org/guide/differentiation-of-the-public-sphere/counterpublics/">counterpublic</a> (to use <a href="http://www.yale.edu/english/profiles/warner.html">Michael Warner</a>&#8216;s term) who were loosely connected through their strategic use of blogging. The subgenre of the trauma blog became the research topic for my dissertation, yet I chose to exclude the blogs of those traumatized as a result of war or terrorist attacks. Partly this was practical, I needed to limit the number of blogs that I used in my analysis. The other reason for this choice was more ideological in nature. Drawing attention to those who speak out about traumas that are still highly stigmatized will hopefully lessen the stigma or, at the very least, draw attention to these survivors brave enough to speak out.</p>
<p>In the future I hope to apply the same research strategies to the blogs written by veterans.</p>
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		<title>Social media and free speech in the classroom</title>
		<link>http://www.catshuler.com/blog/2010/01/23/social-media-and-free-speech-in-the-classroom/</link>
		<comments>http://www.catshuler.com/blog/2010/01/23/social-media-and-free-speech-in-the-classroom/#comments</comments>
		<pubDate>Sat, 23 Jan 2010 18:29:50 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[teacherly me]]></category>
		<category><![CDATA[civil rights]]></category>
		<category><![CDATA[free speech]]></category>
		<category><![CDATA[social media]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=106</guid>
		<description><![CDATA[While researching the use of Facebook in the classroom (I&#8217;m trying to find a way to create a version of my profile that allows me to be friends with my students while limiting the information that they can see and allowing them to limit the information that I can see. Not finding a way without [...]]]></description>
			<content:encoded><![CDATA[<p><span class="dropcap">W</span>hile researching the use of Facebook in the classroom (I&#8217;m trying to find a way to create a version of my profile that allows me to be friends with my students while limiting the information that they can see and allowing them to limit the information that I can see. Not finding a way without creating an entirely new profile) I ran across an article about clear violations of free speech with regards to students using social media. Am I talking about posting status updates in the classroom? The use of disruptive technologies? Nope. I&#8217;m talking about a coach who required a student to provide said coach with her Facebook account information (including password), reading her private messages, and then penalizing her for the use of inappropriate language in her messages. Wow, I guess if you&#8217;re under eighteen freedom of speech isn&#8217;t allowed, even in the private sphere. Read about it at <a href="http://www.citmedialaw.org/blog/2009/educators-reprimand-student-private-facebook-messages">Citizen Media Law Project</a>.</p>
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		<slash:comments>0</slash:comments>
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		<title>Equality for All: A WWII Vet talks about Gay Marriage</title>
		<link>http://www.catshuler.com/blog/2009/10/22/equality-for-all-a-wwii-vet-talks-about-gay-marriage/</link>
		<comments>http://www.catshuler.com/blog/2009/10/22/equality-for-all-a-wwii-vet-talks-about-gay-marriage/#comments</comments>
		<pubDate>Thu, 22 Oct 2009 12:36:11 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[equality]]></category>
		<category><![CDATA[gay rights]]></category>
		<category><![CDATA[human rights]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=73</guid>
		<description><![CDATA[My friend Sally posted this to Facebook, and I feel it&#8217;s worth posting again. This man&#8217;s testimony warms my heart and gives me great hope. I think this is the first time that I&#8217;ve heard a WWII veteran apply the sacrifices that he (and others like h im) made in war to the rights of [...]]]></description>
			<content:encoded><![CDATA[<span><span class="dropcap">M</span>y friend Sally posted this to Facebook, and I feel it&#8217;s worth posting again. This man&#8217;s testimony warms my heart and gives me great hope. I think this is the first time that I&#8217;ve heard a WWII veteran apply the sacrifices that he (and others like h<span> </span><span>im) made in war to the rights of all to be able to marry. What a spokesman for the gay rights movement! Definitely worth watching.</span></span></p>
<p><object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="853" height="505" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/GrEbJBFWIPk&amp;hl=en&amp;fs=1&amp;rel=0" /><param name="allowfullscreen" value="true" /><embed type="application/x-shockwave-flash" width="853" height="505" src="http://www.youtube.com/v/GrEbJBFWIPk&amp;hl=en&amp;fs=1&amp;rel=0" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
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		<title>Ralph Lauren threatens to sue over criticism</title>
		<link>http://www.catshuler.com/blog/2009/10/11/ralph-lauren-threatens-to-sue-over-criticism/</link>
		<comments>http://www.catshuler.com/blog/2009/10/11/ralph-lauren-threatens-to-sue-over-criticism/#comments</comments>
		<pubDate>Sun, 11 Oct 2009 18:18:50 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[this is what a feminist looks like]]></category>
		<category><![CDATA[body image]]></category>
		<category><![CDATA[copyright]]></category>
		<category><![CDATA[fair use]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=68</guid>
		<description><![CDATA[BoingBoing reports that a recent critique of a Ralph Lauren ad&#8211;one that portrays an obviously altered image of a model whose head is larger than her torso&#8211;has resulted in threats of a lawsuit and a DMCA infringement notice for publishing the image. This is not, of course, a new story. DMCA infringement notices and lawsuit [...]]]></description>
			<content:encoded><![CDATA[<a href="http://www.boingboing.net/2009/10/06/the-criticism-that-r.html"><span class="dropcap">B</span>oingBoing reports</a> that a recent critique of a Ralph Lauren ad&#8211;one that portrays an obviously altered image of a model whose head is larger than her torso&#8211;has resulted in threats of a lawsuit and a DMCA infringement notice for publishing the image. This is not, of course, a new story. DMCA infringement notices and lawsuit threats have been received by others who&#8217;ve published copyrighted images for the purpose of critique. As <a href="http://craphound.com/bio.php">Cory Doctorow</a>, author of the blog entry on <a href="http://www.boingboing.net">BoingBoing</a>, points out: &#8220;This is classic fair use: a reproduction &#8216;for purposes such as criticism, comment, news reporting,&#8217; etc&#8221;. The best part of this story is not so much the critique (though as a feminist I am pleased to see that someone noticed this outrageous example of body image distortion) but the fact that Boing Boing and <a href="http://www.prioritycolo.com/">their internet provider</a> have responded by thumbing their nose at Ralph Lauren. Rather than fold under the pressure of a possible lawsuit, they&#8217;ve challenged the company to make good on their threats. I, for one, hope that they do engage in this frivolous legal action as that response will draw further attention to their damaging advertising strategies and their clumsy attempts to hide them.</p>
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		<title>a pill for PTSD?</title>
		<link>http://www.catshuler.com/blog/2009/02/20/a-pill-for-ptsd/</link>
		<comments>http://www.catshuler.com/blog/2009/02/20/a-pill-for-ptsd/#comments</comments>
		<pubDate>Fri, 20 Feb 2009 15:47:10 +0000</pubDate>
		<dc:creator>Cat</dc:creator>
				<category><![CDATA[activista cat]]></category>
		<category><![CDATA[medical research]]></category>
		<category><![CDATA[ptsd]]></category>
		<category><![CDATA[trauma]]></category>

		<guid isPermaLink="false">http://www.catshuler.com/blog/?p=31</guid>
		<description><![CDATA[In my research on PTSD blogs and due to my own tendency to keep up with PTSD-related news, I keep coming across articles regarding a &#8220;pill&#8221; for treating PTSD.  It&#8217;s not a new idea; a bit of research into it reveals articles as far back as 2004.  So, why is it suddenly popping up everywhere [...]]]></description>
			<content:encoded><![CDATA[<p><span class="dropcap">I</span>n my research on PTSD blogs and due to my own tendency to keep up with PTSD-related news, I keep coming across articles regarding a &#8220;pill&#8221; for treating PTSD.  It&#8217;s not a new idea; a bit of research into it reveals articles as far back as 2004.  So, why is it suddenly popping up everywhere now? Because the <a href="http://va.gov">US Department of Veteran Affairs</a> is currently recruiting for <a href="http://clinicaltrials.gov/ct2/show/NCT00645450">a clinical trial</a> continuing the research into a pill that, as the popular press has put it, <a href="http://www.medicalnewstoday.com/articles/139196.php">&#8220;erases bad memories.&#8221;</a> The drug in question is propranolol, a beta-blocker used to control blood pressure.  I was a bit shocked when I read the name of the medication, having been previously prescribed it as a migraine prophylactic. If I knew more about neurophysiology, I could probably explain how a beta-blocker could also function as a preventative for migraines and a treatment for PTSD.  But I don&#8217;t.  What I can do is explain the process and assumptions behind this clinical trial.</p>
<p>Designed based on two previous studies, this trial will examine the effect of a 24-hour oral dose of propranolol as opposed to that of a placebo.  The participants, comprised of male and female combat veterans previously stationed in Iraq and Afghanistan, all meet DSM-IV criteria for Post Traumatic Stress Disorder.  The basic protocol of the study is thus: during each of six &#8220;memory reactivation sessions,&#8221; participants will be asked to spend ten minutes relating the traumatic memory of the event that they believe &#8220;caused&#8221; their PTSD to a trained psychiatrist, who will then continue to provoke the &#8220;reactivation&#8221; of the memory by asking questions, &#8220;<a href="http://clinicaltrials.gov/ct2/show/NCT00645450">keeping the participant focused on the traumatic event and encouraging him/her to identify aspects of the traumatic event that continue to provoke emotional distress</a>&#8220;.  Immediately following the &#8220;memory reactivation sessions.&#8221; participants will be administered either propranalol or its placebo.  Following the treatment sessions, the protocol efficacy will be determined by measuring the physiological response that particpants have in response to recollections of the traumatic event.  They will also measure the presenting symptoms by using the Clinician Administered PTSD Scale (CAPS), which was previously used to diagnose participants.  The effects of the treatment will be determined based on the physiological response and a comparison between the two CAPS.</p>
<p>The treatment protocol relies on the <a href="http://learnmem.cshlp.org/content/14/4/295.abstract?sid=a72fb7ff-2ffe-4484-8d3c-6ec5f9cb3da7">reconsolidation hypothesis</a>, which states that &#8220;a consolidated <span class="search-term-highlight">memory</span> could again become unstable and susceptible to facilitation or impairment for a discrete period of time after a reminder                      presentation.&#8221;  In other words, for the purposes of this study, immediately following the memory reactivation the memory is susceptible to alteration.  <a href="http://www.nature.com/neuro/journal/vaop/ncurrent/abs/nn.2271.html">Alterations of fear responses</a> have already been accomplished in studies on animals.</p>
<p>So, what&#8217;s my problem?  My first response is that I don&#8217;t want anyone monkeying around with my memories.  Removal of the memory or even the fear-related response doesn&#8217;t necessarily include healing from the traumatic event nor does the erasure of symptoms necessarily include successful treatment of the underlying condition.  My other issue concerns the exclusion criteria for the study, one of which is:</p>
<p class="rteindent1">Current participation in any psychotherapy (other than supportive). Subjects will be asked not to initiate psychotherapy during the course of the proposed study except in clinically urgent circumstances; if this becomes necessary, a decision will be made on a case-by-case basis whether to retain the subject in the study or terminate participation.</p>
<p>I understand the need to eliminate variables in research studies, but I&#8217;m also a firm believer in &#8220;do no harm.&#8221; In my opinion, restricting access to health care constitutes harm.  Of course, this is just my layperson&#8217;s opinion.  I&#8217;m not trained in medicine or psychology, though I do know a fair amount about the psychology of trauma.  Still, there are certainly nuances that I am missing due to a lack of training in the aforementioned areas. If anyone can explain it in a more satisfactory way, please post a comment here.</p>
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