The Role of Relationships in the Professional Formation of Physicians

BACKGROUND: Studies of the professional development of physicians highlight the important effect that the learning environment, or \ hidden curriculum,\ has in shaping student attitudes, behaviors, and values. We conducted this study to better understand the role that relationships have in mediating these effects of the hidden curriculum. [See PDF for complete abstract

Neoliberalisation and 'lad cultures' in higher education

This paper links HE neoliberalisation and ‘lad cultures’, drawing on interviews and focus groups with women students. We argue that retro-sexist ‘laddish’ forms of masculine competitiveness and misogyny have been reshaped by neoliberal rationalities to become modes of consumerist sexualised audit. We also suggest that neoliberal frameworks scaffold an individualistic and adversarial culture among young people that interacts with perceived threats to men’s privilege and intensifies attempts to put women in their place through misogyny and sexual harassment. Furthermore, ‘lad cultures’, sexism and sexual harassment in higher education may be invisibilised by institutions to preserve marketability in a neoliberal context. In response, we ask if we might foster dialogue and partnership between feminist and anti-marketisation politics

The pragmatic-semiotic construction of male identities in contemporary advertising of male grooming products

[EN] This article aims to unveil how male identities are constructed in a corpus of male toiletry TV ads through a pragmatic and multimodal analysis of a set of implicit assumptions conveyed about the male participants in the ads. The validity of these assumptions is first empirically tested with a group of 10 male informants and then those implied meanings are bundled into thematic cores for their qualitative and quantitative description. Findings reveal that these ads still rely on stereotypical constructs and traditional discourses of what it takes to be a man. For example, men are invited to consume grooming products but reminded to do it the men's way. Men are also reminded of their sexual power to seduce and attract women with the aid of the product. Likewise, by portraying male ad personae in traditional manly activities while emphasizing their toughness and body strength, or their resourcefulness when faced with challenging situations, the ads portray a rather skewed view of contemporary men, which fails to take into account the myriad roles a modern man can play in contemporary societies.I am really grateful to the reviewers for their insightful comments and also to the editor of the journal.Saz Rubio, MMD. (2019). The pragmatic-semiotic construction of male identities in contemporary advertising of male grooming products. Discourse & Communication. 13(2):192-227. https://doi.org/10.1177/1750481318817621S192227132Alexander, S. M. (2003). Stylish Hard Bodies: Branded Masculinity in Men’s Health Magazine. Sociological Perspectives, 46(4), 535-554. doi:10.1525/sop.2003.46.4.535Attwood, F. (2005). ‘Tits and ass and porn and fighting’. International Journal of Cultural Studies, 8(1), 83-100. doi:10.1177/1367877905050165Rubio, M. D. S. (2018). A multimodal approach to the analysis of gender stereotypes in contemporary British TV commercials: «women and men at work». Poznan Studies in Contemporary Linguistics, 54(2), 185-221. doi:10.1515/psicl-2018-0008Del Saz-Rubio, M. M. (2018). Female identities in TV toiletries ads: A pragmatic and multimodal analysis of implied meanings. Journal of Pragmatics, 136, 54-78. doi:10.1016/j.pragma.2018.07.009Barthel, D. (s. f.). When Men put on Appearances: Advertising and the Social Construction of Masculinity. Men, Masculinity, and the Media, 138-153. doi:10.4135/9781483326023.n10Benwell, B. (2003). Introduction: Masculinity and men’s Lifestyle Magazines. The Sociological Review, 51(1_suppl), 6-29. doi:10.1111/j.1467-954x.2003.tb03600.xBrandth, B. (1995). Rural masculinity in transition: Gender images in tractor advertisements. Journal of Rural Studies, 11(2), 123-133. doi:10.1016/0743-0167(95)00007-aBrandth, B., & Haugen, M. S. (2000). From lumberjack to business manager: masculinity in the Norwegian forestry press. Journal of Rural Studies, 16(3), 343-355. doi:10.1016/s0743-0167(00)00002-4Caldas-Coulthard, C. R., & van Leeuwen, T. (2002). 4. Stunning, shimmering, iridescent. Discourse Approaches to Politics, Society and Culture, 91-108. doi:10.1075/dapsac.2.05calCarrigan, T., Connell, B., & Lee, J. (1985). Toward a new sociology of masculinity. Theory and Society, 14(5), 551-604. doi:10.1007/bf00160017Connell, R. W., & Messerschmidt, J. W. (2005). Hegemonic Masculinity. Gender & Society, 19(6), 829-859. doi:10.1177/0891243205278639Craig, S. (s. f.). Considering Men and the Media. Men, Masculinity, and the Media, 2-7. doi:10.4135/9781483326023.n1An, D., & Kim, S. (2007). Relating Hofstede’s masculinity dimension to gender role portrayals in advertising. International Marketing Review, 24(2), 181-207. doi:10.1108/02651330710741811Dick, A., Chakravarti, D., & Biehal, G. (1990). Memory-Based Inferences during Consumer Choice. Journal of Consumer Research, 17(1), 82. doi:10.1086/208539Feasey, R. (2009). Spray more, get more: masculinity, television advertising and the Lynx effect. Journal of Gender Studies, 18(4), 357-368. doi:10.1080/09589230903260027Featherstone, M. (s. f.). The Body in Consumer Culture. The Body: Social Process and Cultural Theory, 170-196. doi:10.4135/9781446280546.n6Firat, A. F., & Venkatesh, A. (1993). Postmodernity: The age of marketing. International Journal of Research in Marketing, 10(3), 227-249. doi:10.1016/0167-8116(93)90009-nFollo, G. (2002). A hero’s journey: young women among males in forestry education. Journal of Rural Studies, 18(3), 293-306. doi:10.1016/s0743-0167(02)00006-2Franzoi, S. L. (1995). The body-as-object versus the body-as-process: Gender differences and gender considerations. Sex Roles, 33(5-6), 417-437. doi:10.1007/bf01954577Gill, R. (2003). Power and the Production of Subjects: A Genealogy of the New Man and the New Lad. The Sociological Review, 51(1_suppl), 34-56. doi:10.1111/j.1467-954x.2003.tb03602.xGill, R., Henwood, K., & McLean, C. (2005). Body Projects and the Regulation of Normative Masculinity. Body & Society, 11(1), 37-62. doi:10.1177/1357034x05049849Grisot, C. (2017). A quantitative approach to conceptual, procedural and pragmatic meaning: Evidence from inter-annotator agreement. Journal of Pragmatics, 117, 245-263. doi:10.1016/j.pragma.2017.06.020Hakala U (2003) Quantitative and qualitative methods of analysing advertising: Content analysis and semiotics. Series Discussion and Working Papers 5. Turku: Turku School of Economics and Business Administration, p. 51.Hall, M., Gough, B., & Seymour-Smith, S. (2012). «I’m METRO, NOT Gay!»: A Discursive Analysis of Men’s Accounts of Makeup Use on YouTube. The Journal of Men’s Studies, 20(3), 209-226. doi:10.3149/jms.2003.209Halliwell, E., & Dittmar, H. (2003). A Qualitative Investigation of Women’s and Men’s Body Image Concerns and Their Attitudes Toward Aging. Sex Roles, 49(11/12), 675-684. doi:10.1023/b:sers.0000003137.71080.97Hanke, R. (1998). Theorizing Masculinity With/In the Media. Communication Theory, 8(2), 183-201. doi:10.1111/j.1468-2885.1998.tb00217.xHarrison, C. (2008). Real men do wear mascara: advertising discourse and masculine identity. Critical Discourse Studies, 5(1), 55-74. doi:10.1080/17405900701768638Holt, D. B., & Thompson, C. J. (2004). Man-of-Action Heroes: The Pursuit of Heroic Masculinity in Everyday Consumption: Figure 1. Journal of Consumer Research, 31(2), 425-440. doi:10.1086/422120Jackson, P. (1994). Black male: Advertising and the cultural politics of masculinity. Gender, Place & Culture, 1(1), 49-59. doi:10.1080/09663699408721200Kacen, J. J. (2000). Girrrl power and boyyy nature: the past, present, and paradisal future of consumer gender identity. Marketing Intelligence & Planning, 18(6/7), 345-355. doi:10.1108/02634500010348932Kervin, D. (1990). Advertising Masculinity: The Representation of Males in Esquire Advertisements. Journal of Communication Inquiry, 14(1), 51-70. doi:10.1177/019685999001400106Kress, G. (2006). Reading Images. doi:10.4324/9780203619728Lee, D. H., & Olshavsky, R. W. (1995). Conditions and Consequences of Spontaneous Inference Generation: A Concurrent Protocol Approach. Organizational Behavior and Human Decision Processes, 61(2), 177-189. doi:10.1006/obhd.1995.1014Levinson, S. C. (2000). Presumptive Meanings. doi:10.7551/mitpress/5526.001.0001Luyt, R. (2012). Constructing hegemonic masculinities in South Africa: The discourse and rhetoric of heteronormativity. Gender and Language, 6(1). doi:10.1558/genl.v6i1.47McNeill, L. S., & Douglas, K. (2011). Retailing masculinity: Gender expectations and social image of male grooming products in New Zealand. Journal of Retailing and Consumer Services, 18(5), 448-454. doi:10.1016/j.jretconser.2011.06.009McNeill, L. S., & Firman, J. L. (2014). Ideal body image: A male perspective on self. Australasian Marketing Journal (AMJ), 22(2), 136-143. doi:10.1016/j.ausmj.2014.04.001Moeschler, J. (s. f.). 15. Conversational and conventional implicatures. Cognitive Pragmatics. doi:10.1515/9783110214215.405Morrison, T. G., Morrison, M. A., & Hopkins, C. (2003). Striving for bodily perfection? An exploration of the drive for muscularity in Canadian men. Psychology of Men & Masculinity, 4(2), 111-120. doi:10.1037/1524-9220.4.2.111Nixon, S. (1996). Hard Looks. doi:10.1007/978-1-349-61442-4Olivardia, R., Pope, H. G., Borowiecki, J. J., & Cohane, G. H. (2004). Biceps and Body Image: The Relationship Between Muscularity and Self-Esteem, Depression, and Eating Disorder Symptoms. Psychology of Men & Masculinity, 5(2), 112-120. doi:10.1037/1524-9220.5.2.112Pascoe, C. J. (2003). Multiple Masculinities? American Behavioral Scientist, 46(10), 1423-1438. doi:10.1177/0002764203046010009Patterson, M., & Elliott, R. (2002). Negotiating Masculinities: Advertising and the Inversion of the Male Gaze. Consumption Markets & Culture, 5(3), 231-249. doi:10.1080/10253860290031631Pennock-Speck, B., & del Saz-Rubio, M. M. (2013). A multimodal analysis of facework strategies in a corpus of charity ads on British television. Journal of Pragmatics, 49(1), 38-56. doi:10.1016/j.pragma.2012.12.010Plakoyiannaki, E., & Zotos, Y. (2009). Female role stereotypes in print advertising. European Journal of Marketing, 43(11/12), 1411-1434. doi:10.1108/03090560910989966Pope, H. G., Gruber, A. J., Mangweth, B., Bureau, B., deCol, C., Jouvent, R., & Hudson, J. I. (2000). Body Image Perception Among Men in Three Countries. American Journal of Psychiatry, 157(8), 1297-1301. doi:10.1176/appi.ajp.157.8.1297Renkema, J. (2004). Introduction to Discourse Studies. doi:10.1075/z.124Ringrow, H. (2016). The Language of Cosmetics Advertising. doi:10.1057/978-1-137-55798-8Rohlinger, D. A. (2002). Sex Roles, 46(3/4), 61-74. doi:10.1023/a:1016575909173Rudy, R. M., Popova, L., & Linz, D. G. (2010). The Context of Current Content Analysis of Gender Roles: An Introduction to a Special Issue. Sex Roles, 62(11-12), 705-720. doi:10.1007/s11199-010-9807-1Schroeder, J. E., & Zwick, D. (2004). Mirrors of Masculinity: Representation and Identity in Advertising Images. Consumption Markets & Culture, 7(1), 21-52. doi:10.1080/1025386042000212383Tashakkori, A., & Creswell, J. W. (2007). Editorial: The New Era of Mixed Methods. Journal of Mixed Methods Research, 1(1), 3-7. doi:10.1177/2345678906293042Thompson, C. J., & Hirschman, E. C. (1995). Understanding the Socialized Body: A Poststructuralist Analysis of Consumers’ Self-Conceptions, Body Images, and Self-Care Practices. Journal of Consumer Research, 22(2), 139. doi:10.1086/209441THOMPSON, E. H., & PLECK, J. H. (1986). The Structure of Male Role Norms. American Behavioral Scientist, 29(5), 531-543. doi:10.1177/000276486029005003Van Dijk, T. A. (2001). Discourse, Ideology and Context. Folia Linguistica, 35(1-2). doi:10.1515/flin.2001.35.1-2.11Van Dijk, T. A. (2005). War rhetoric of a little ally. The Soft Power of War, 4(1), 65-91. doi:10.1075/jlp.4.1.04dijVan Dijk, T. A. (2006). Politics, Ideology, and Discourse. Encyclopedia of Language & Linguistics, 728-740. doi:10.1016/b0-08-044854-2/00722-7Van Leeuwen, T. (2008). Discourse and Practice. doi:10.1093/acprof:oso/9780195323306.001.0001Wernick, A. (1991). Promotional Culture. Ideology and Power in the Age of Lenin in Ruins, 260-281. doi:10.1007/978-1-349-22346-6_17Wheaton, B. (2003). Lifestyle Sport Magazines and the Discourses of Sporting Masculinity. The Sociological Review, 51(1_suppl), 193-221. doi:10.1111/j.1467-954x.2003.tb03612.xWodak, R. (2007). Pragmatics and Critical Discourse Analysis. Pragmatics & Cognition, 15(1), 203-225. doi:10.1075/pc.15.1.13wo

Assessing the Sociology of Sport on Changing Masculinities and Homophobia

Sport sociology has been intricately tied with the \ud study of masculinities since the early 1990s \ud in the West. The field was first established in exa\ud mining white male athlete’s masculinity, \ud particularly noting its root in homophobia in the f\ud orging of a hegemonic form of masculinity. \ud However, contemporary masculinity scholarship shows\ud a changed relationship between \ud men’s masculinity and hegemonic dominance. Current \ud research examines men’s \ud masculinities in an era of decreased homohysteria, \ud finding teamsport athletes inclusive of \ud homosexuality. This simultaneously permits heterose\ud xual men to live within greatly \ud expanded gender terrains. The challenge for sport s\ud ociologist concerned with masculinities \ud today, is to expand the locus of investigation to t\ud he intersectional demographics of varying \ud races, geographical locations, religious beliefs, a\ud ge and other important demographics

The sexuality-assemblages of young men: a new materialist analysis

This article presents a new materialist exploration of young men and sexuality that shifts the focus away from bodies and individuals, toward the affective flow within assemblages of bodies, things, ideas and social institutions, and the sexual capacities this flow produces. Using data from two empirical studies, we explore the sexuality assemblages of teen boys and young men, and the micropolitics of these assemblages. We find that the sexuality produced in the bodies of young men is highly territorialised and aggregated by various materialities. However, we also reveal how young men resist these conventional sexualities

The impact of emotional well-being on long-term recovery and survival in physical illness: a meta-analysis

This meta-analysis synthesized studies on emotional well-being as predictor of the prognosis of physical illness, while in addition evaluating the impact of putative moderators, namely constructs of well-being, health-related outcome, year of publication, follow-up time and methodological quality of the included studies. The search in reference lists and electronic databases (Medline and PsycInfo) identified 17 eligible studies examining the impact of general well-being, positive affect and life satisfaction on recovery and survival in physically ill patients. Meta-analytically combining these studies revealed a Likelihood Ratio of 1.14, indicating a small but significant effect. Higher levels of emotional well-being are beneficial for recovery and survival in physically ill patients. The findings show that emotional well-being predicts long-term prognosis of physical illness. This suggests that enhancement of emotional well-being may improve the prognosis of physical illness, which should be investigated by future research

Edoxaban: an update on the new oral direct factor Xa inhibitor.

Edoxaban is a once-daily oral anticoagulant that rapidly and selectively inhibits factor Xa in a concentration-dependent manner. This review describes the extensive clinical development program of edoxaban, including phase III studies in patients with non-valvular atrial fibrillation (NVAF) and symptomatic venous thromboembolism (VTE). The ENGAGE AF-TIMI 48 study (N = 21,105; mean CHADS2 score 2.8) compared edoxaban 60 mg once daily (high-dose regimen) and edoxaban 30 mg once daily (low-dose regimen) with dose-adjusted warfarin [international normalized ratio (INR) 2.0-3.0] and found that both regimens were non-inferior to warfarin in the prevention of stroke and systemic embolism in patients with NVAF. Both edoxaban regimens also provided significant reductions in the risk of hemorrhagic stroke, cardiovascular mortality, major bleeding and intracranial bleeding. The Hokusai-VTE study (N = 8,292) in patients with symptomatic VTE had a flexible treatment duration of 3-12 months and found that following initial heparin, edoxaban 60 mg once daily was non-inferior to dose-adjusted warfarin (INR 2.0-3.0) for the prevention of recurrent VTE, and also had a significantly lower risk of bleeding events. Both studies randomized patients at moderate-to-high risk of thromboembolic events and were further designed to simulate routine clinical practice as much as possible, with edoxaban dose reduction (halving dose) at randomisation or during the study if required, a frequently monitored and well-controlled warfarin group, a well-monitored transition period at study end and a flexible treatment duration in Hokusai-VTE. Given the phase III results obtained, once-daily edoxaban may soon be a key addition to the range of antithrombotic treatment options