Archive for the ‘Popular culture’ Category
A Thomistic Argument for Labeling Retouched Media Images
Valerie Boyer, a member of the French Parliament, has drafted a law requiring all digitally-altered photographs of people used in advertising to be labeled as “retouched.” Her proposal has not yet come to a vote in the National Assembly, but has understandably initiated a debate extending beyond France.
According to the NYTimes article on the subject, the real issue for Ms. Boyer is “about her two teenage daughters, 16 and 17, and the pressures on young women to match the fashionable ideal of a thin body and perfect skin.” Boyer noted in an interview: “If someone wants to make life a success, wants to feel good in their skin, wants to be part of society, one has to be thin or skinny, and then it’s not enough — one will have his body transformed with software that alters the image, so we enter a standardized and brainwashed world, and those who aren’t part of it are excluded from society.”
Photographers and models largely oppose the proposed law, citing concerns about destroying the nature of photographic art and misplacing body concerns and eating disorder prevention efforts to images rather than other complex causal factors.
But EverydayThomist is on the side of Boyer, with a Thomistic argument to boot. According to Aquinas, the sense of sight is the most important of the senses (this point he derives from his Aristotelian biology). While Aquinas thinks that there is something ontologically superior granted to the sense of sight not shared by other senses, a primary reason that the sense of sight is so important is that it is through our vision that we know the truth.
This requires some explanation. Human beings, in Aquinas’ hylomorphic anthropological schema, are composed of a material body and an immaterial soul. We know the truth through our immaterial intellect. However, unlike the angels and other spirits, human beings, being corporeal, cannot grasp the truth simply through the immaterial intellect. Rather, all knowledge of the truth must be mediated through the corporeal body, and specifically, through the external senses–sight, hearing, touch, taste, and smell.
The external senses apprehend external objects which it then communicates to the immaterial intellect. The intellect, being immaterial, cannot have knowledge of material objects perceived by the senses unless it abstracts from these material objects to form an image in the mind, what Aquinas calls a phantasm. It is by means of this image that the mind knows. This is an important point in Thomistic epistemology that bears repeating: the mind can only know by means of the creation of phantasms.
However, the process of knowing by means of the creation of phantasms is a complex and highly dialectic process. The mind must continue to return to the external senses which apprehend (and are corporeally transmuted by the perception of the external object) in order to maintain and develop the phantasm. Think of this analogously to apprehending a complex piece of art. As you think back on the work of art in your mind, your knowledge will be fragmented. You have to continue, time and again, returning to the piece of art before you can truly see it in your mind’s eye, even when the artifact itself is absent. Turns out, all knowledge of externals is like this. We have to continue returning to the external object before its phantasm can be firmly planted in the mind and our knowledge of the object can be said to be true.
Multiple empirical studies have indicated a significant correlation between exposure to idealized media images and various manifestations of body dissatisfaction including depression anxiety, and anger. A 2003 Australian study investigated the effect of body dissatisfaction in adolescent boys and girls (aged 13-15) after viewing 20 commercials containing idealized thin female images versus 20 nonappearance television commercials. The study found that girls, but not boys, who viewed the commercials with the idealized images reported significantly higher body dissatisfaction compared with nonappearance commercials, supporting the general hypothesis that televised images of attractiveness lead to increased body dissatisfaction in adolescent girls. A 2002 study by Durkin and Paxton found that in a controlled study of seventh and tenth graders, both grades experienced a significant decrease in state body satisfaction and a significant increase in state depression attributable to viewing idealized images of females in advertising. Another 2002 meta-analytic review of 25 studies on the effect of mass media images of the slender ideal on body dissatisfaction found that body image was significantly more negative after viewing thin media images than after viewing images of thin models than after viewing images of average or plus-size models.
The role of the media and specifically the espousal of the thin-ideal image of female beauty is frequently implicated as a cause for the onset and maintenance of eating disorders, and experimental data from the last two decades seems to confirm that this is the case. Several studies confirm that body-image dissatisfaction is the most consistent predictor of the onset of an eating disorder. A three-year longitudinal study of female adolescents confirmed a statistical significance between body dissatisfaction and the onset restrictive eating behaviors.
Aquinas would not be surprised at such empirical studies. Aquinas, along with the ancients, knew that what we see influences who we are. Aquinas called this the process of becoming connatured to what we see. The strongest phantasms in our minds, the phantasms of external objects we are most frequently exposed to through our vision, naturally influences our appetites, inclining us toward those objects in the appetitive movement of love. If we continuously are exposed to thin-ideal images of beauty in popular media, those phantasms of that beauty ideal will be strong in our mind, and our appetites will be duly influenced as well. Women may be inclined towards behaviors like food restriction and over-exercise to manifest such an ideal in their own body. Men may be inclined towards women embodying such an ideal, thus reinforcing the knowledge (derived from the phantasm), that thinness is the ideal of feminine beauty.
Boyer’s proposal offers a way of bypassing this psychological process. By labeling thin-ideal images as retouched, the phantasm that the mind would like create upon exposure to such images is more likely to be a phantasm of a falsely-represented external object, rather than an accurate representation of reality. The mind would not just create a phantasm of an overly-thin beautiful woman, but would accompany this phantasm with the cognitive judgment that such an image was a lie. Thus, the appetite is more likely to be inclined towards such images as good and desirable.
Now, EverydayThomist in no way thinks that Boyer’s proposal is going to solve the eating disorder problem. Eating disorders are complicated phenomena, and the representation of thin-ideal images of women in popular media is only part of the problem. But her proposal is a step in the right direction. It recognizes that eating disorders are not simply problems with food, but also problems in seeing. Transforming what we see is frequently the first step in solving problems in what we do.
Choosing to Conceive: Should IVF be Restricted in the Same Way We Restrict Unhealthy Food?
An article in today’s NYTimes online provocatively titled “The Gift of Life and It’s Price” discusses both the economic costs and emotional toll of the fertility industry. The issue of IVF is receiving renewed attention in light of the debate about healthcare and the significant costs that IVF children, particularly IVF-conceived twins who are frequently born premature with severe health problems, contribute to overall healthcare spending:
The hospitalization and doctor’s care for Ms. Hare and her son exceeded $1 million. Most of that, about $750,000 to $800,000, was for Carter. The bill was picked up by the self-funded health plan of the Trammell Crow Company, the Dallas real estate investment company where Ms. Hare worked.
“The following quarter during the earnings release, somebody asked why there was a sharp increase in medical costs,” Ms. Hare said. No one identified her, but Ms. Hare knew that her family had contributed heavily.
In Atlanta, the Centers for Disease Control and Prevention hired an economist to predict what would happen if single embryo transfer were used in a large number of IVF cases.
Dr. Macaluso, the C.D.C. reproductive health official, estimates the patients, businesses and insurance providers would save more than $500 million annually, even taking into consideration the cost of extra in-vitro rounds, by lowering neonatal intensive care, special education and other costs of premature babies.
In an effort to be competitive in today’s fertility industry, clinics grant the maximum autonomy possible to clients in choosing how many fertilized embryos to transfer, despite the fact that higher implantation success rates means that multiple transfers is significantly more likely to lead to multiple births. Potential parents know the risk, but since IVF procedures frequently come out of their own pocket, most are unable to afford multiple rounds, and multiple embryo transfers makes it much more likely that the first round of IVF will lead to conception. Twins are much more likely than single births to have complications at birth.
According to one federal study, about 30 percent of all twins end up in a neonatal intensive care unit, with twins eight times as likely as single babies to be born below 3 pounds, 4 ounces. These are the babies who often need the longest hospital care and face the most sever health problems. Dr. Macaluso, the doctor featured in the article, calls them “million-dollar babies.”
The story does a good job balancing between discussing the extreme financial costs of IVF and multiple births with the more emotional side of the story. The parents discussed (and many of the ones weighing in with comments at the end of the article) are couples who want ever-so-badly to have children and are willing to bear any costs to make this a reality. Moreover, they are providing their children the gift of life, a gift that outweighs any financial burden.
This article brings to the mind of the everydaythomist the morality of choice, and in particular, a distinction made by the renowned Servais Pinckaers between freedom of indifference and freedom for excellence. Pickaers argues that in the contemporary period, we are accustomed to thinking of choice as a matter of choosing between what he calls “freedom of indifference” and “freedom of excellence.” Much of Pinckaers discussion of these two freedoms is a rhetorically charged jab at a caricature of nominalism, and particularly William of Occam (I am more inclined to blame Scotus for the sins of nominalism), but in essence, freedom of indifference is a conception of human freedom that reduces the matter of choice completely to the will’s ability to choose between contraries.
Essentially, freedom of indifference for Pinckaers is the freedom to do whatever is within the realm of possibility for human beings. Human beings have the ability to implant one or two or ten embryos into a woman’s uterus, thus, a woman has the freedom to decide how many embryos will get transferred. Freedom of indifference is the freedom of choice, the choice to say “yes” or “no” to whatever is possible.
Freedom for excellence is, on the contrary, a more limited construal of freedom. This conception of freedom is not one that focuses on the will’s ability to choose “yes” or “no” to whatever possible, but rather the will and intellect’s ability to choose “yes” to whatever is good. Freedom for excellence is a freedom limited to the telos of human flourishing. Choosing what is conducive to flourishing, both for the individual and the community, is an exercise of such freedom; choosing what is not conducive to flourishing, despite the fact that it may look like an exercise of freedom, is actually a mere expression of the will and reason’s enslavement to the passions, or custom, or some other power that prevents the person from becoming the person that God intended.
Freedom for excellence is not something that is simply given, but is rather something that humans need to develop through the exercise of virtuous external activities, and particularly through the development of the virtues. When I resist gorging myself on Halloween candy because I know it will make me feel sick and sluggish afterwards, I am exercising my freedom for excellence. When my husband and I choose not to buy a TV because we know that our default evening activity will be to veg out in front of the tube rather than engaging in more productive and life-giving activities, we are developing our freedom for excellence, despite the fact that we are limiting our ability to “choose” what to do each night.
Pinckaers distinction between the two freedoms is overly-simplistic, and my summary is even more so, but I think this distinction can illuminate an element of this debate about the cost, both financial and human, about fertility treatment. We think of the ability to choose whether or not to engage in fertility treatment as a foregone conclusion. After all, the technology is available, and much that is good is resultant of the use of this technology, namely the freedom for infertile couples to have their own children. Couples previously denied a choice concerning whether or not to have children now have their freedom to choose restored. This article discusses the cost of couples choosing whether or not to utilize this technology, but does not discuss the choice itself.
I am not so convinced that IVF and other fertility treatments are an authentic and moral exercise of human freedom. Consider this comment from one reader:
I’m sure I share many readers’ thoughts and feelings. Although I acknowledge people’s primal and mindless urges to procreate, in the world we share, “want” doesn’t equal “should have”. Our country and planet are places of finite resources of every kind. To squander them on IVF and its incredibly resource-intensive consequences is simply an outrage. There is no tenable argument in favor of IVF.
Many of the comments reflect this sentiment, and criticize the article for never mentioning adoption. The logic behind these comments is that it is more moral to choose adoption than to choose IVF.
Why wasn’t adoption ever mentioned in this article? Why do these women put themselves and their families through such risky procedures when there are so many children who could need loving, supportive families?
And another.
There are always options for adoption (although it is my understanding that this process can be equally time consuming, emotionally draining, and financially burdensome.
I think there is a case to be made for limiting the freedom to choose IVF, which is a restriction of one conception of freedom, in order to expand another conception of freedom. I think we need to bring the debate about IVF back down to the morality of the choice itself. Our society is limiting the ability to “choose” in all sorts of ways in order to make people “more free” in another way. We are taking coke and snack machines out of primary schools, for example, which is limiting the freedom our children have to choose between healthy and unhealthy dining options in order to make them more free by making them less disposed to obesity and diabetes as adults. In many cities across the US, including my own, it is illegal to smoke inside public buildings in order to make people more free to enjoy a meal or a drink without exposure to second-hand smoke.
We choose to limit our ability to choose in order to make us more free to make choices that are conducive to health, flourishing, and excellence. Why do we not do the same for IVF. Yes, in one sense, it is wonderful for parents who cannot conceive naturally to be able to conceive artificially, and there are many beautiful IVF success stories that serve as a testimony to its advantages. But are fertility procedures like IVF allowing individuals and society to make choices that are really conducive to excellence and flourishing?
This article points to one way in which IVF may be detracting from individual and societal flourishing by causing a huge burden to the health care system which is already over-stretched and under-accomplished. The comments about adoption point to another way in which the ability to choose IVF is not conducive to flourishing—it makes people more likely to choose IVF and less likely to choose adoption, leaving millions of kids unwanted in under-resourced foster care system. By restricting the freedom to choose IVF, we increase the freedom to choose adoption, in the same way that restricting the freedom to choose a treat from the snack machine increases the freedom to choose a healthy snack of veggies or whole grains.
Deep down, most of us are libertarians in some way. We want to maximize our choices as a way of maximizing our freedom. But most of us also recognize that on a society-wide scale, maximizing choices is not usually conducive to either making us more free or making us more happy. If given the choice to eat unhealthy snacks or a balanced lunch, most people are going to choose the latter. And we may say that it is a good in itself that they can make this choice, but when we get a society where over 30% of the population is obese, and we can’t provide adequate healthcare to all because the healthcare industry is already over-taxed in treating preventable illnesses like heart disease and obesity, we have to step back and ask whether the inherent ability to choose an unhealthy lifestyle is so good after all.
In a similar fashion, we might think it inherently good that couples at one time debilitated by the disease of infertility can now choose to bear a child of their own to love and care for. But when we get a bloated foster care system, and another giant strain on the healthcare system from couples having IVF babies demanding millions of dollars of expensive lifesaving treatments, maybe we have to step back again and ask whether the inherent ability to choose the IVF procedure is so good after all as well.
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