Rehabilitating Self-Sacrifice: Care Ethics and the Politics of Resistance

ABSTRACT

How should feminists view acts of self-sacrifice performed by women? According to a long-standing critique of care ethics such acts ought to be viewed with scepticism. Care ethics, it is claimed, celebrates acts of self-sacrifice on the part of carers and in doing so encourages women to choose caring for others over their own self-development. In doing so, care ethics frustrates attempts to liberate women from the oppression of patriarchy. Care ethicists have responded to this critique by noting limits on the level, form, or scope of self-sacrifice that work to restrict its role in their theories. While we do not here take issue with the initial feminist critiques of self-sacrifice, we suspect that the strategies offered by Care ethicists in response are importantly flawed. Specifically, these responses undervalue the positive roles that self-sacrifice can play in fighting patriarchal oppression. As a result, in attempting to restrict an oppressive norm, these responses risk foreclosing on valuable means of resistance. Our aim is to explore these positive roles for self-sacrifice and thereby rehabilitate its standing with feminists.     

Additional Thoughts on Rethinking Research Ethics

Recently, bioethics has become interested in engaging with narrative, but in this engagement, narrative is usually viewed as a mere helpmate to philosophy. In this precis to his book The Fiction of Bioethics, Tod Chambers argues that narrative theory should not be simply a helpful addition to medical ethics but instead should be thought of as being as vital and important to the discipline as moral theory itself. The reason we need to rethink the relationship of medical ethics to narrative is that ethicists test their ideas by applying them to cases, and cases are a narrative genre. Recognizing the importance that cases have for the way medical ethicists do ethics is essential in order to appreciate the field as a form of applied philosophy. Like other forms of representation, narrative has distinct and defining features, which ethicists, in order to understand the data of their field, must learn to recognize and differentiate. Ethicists need to attend to the way decisions about the discourse of a narrative influences the kind of moral theories judged relevant to it. The author briefly examines six features of narrative discourse that rhetorically condition the way we understand medical ethics cases: filter, reportability, closure, characters, chronotope, and gender.     

Reply to: Roberts

In his critique of my views on supererogation, Rodney Roberts (Philosophia, 2014) claims that I treat care ethics as having a more general moral validity than other care ethicists do. He also claims that the kind of sentimentalism I espouse doesn’t sufficiently emphasize sentiment and then goes on to question what I say about supererogation. But in fact other care ethicists also think care ethics can cover the whole of morality, and my sentimentalism emphasizes sentiment just as much and as little as that paradigm sentimentalist Francis Hutcheson does. Further, the critique Roberts makes of my view on supererogation doesn’t allow for the full range of possible cases of supererogation.     

What the HEC-C? An Analysis of the Healthcare Ethics Consultant-Certified Program: One Year in

Abstract

Efforts to professionalize the field of bioethics have led to the development of the Healthcare Ethics Consultant-Certified (HEC-C) Program intended to credential practicing healthcare ethics consultants (HCECs). Our team of professional ethicists participated in the inaugural process to support the professionalization efforts and inform our views on the value of this credential from the perspective of ethics consultants. In this paper, we explore the history that has led to this certification process, and evaluate the ability of the HEC-C Program to meet the goals it has set forth for HCECs. We describe the benefits and weaknesses of the program and offer constructive feedback on how the process might be strengthened, as well as share our team’s experience in preparing for the exam.     

Revising,Correcting, and Transferring Genes

Abstract

The distinction between germline and somatic gene editing is fundamental to the ethics of human gene editing. Multiple conferences of scientists, ethicists, and policymakers, and multiple professional bodies, have called for moratoria on germline gene editing, and editing of human germline cells is considered to be an ethical “red line” that either never should be crossed, or should only be crossed with great caution and care. However, as research on germline gene editing has progressed, it has become clear that not all germline interventions are alike, and that these differences make a significant moral difference, when it comes to ethical questions about research, regulation, clinical application, and medical justification. In this paper, I argue that, rather than lumping all germline interventions together, we should distinguish between revising, correcting, and transferring genes, and I assess the consequences of this move for the ethics of gene editing.     

Phenomenology and the Poststructural Critique of Experience

Abstract

Phenomenology is considered a philosophy of experience. But in the wake of French post‐structuralism beginning in the 1970s, the concept of experience within phenomenology has fallen under heavy critique. Even today, in the context of feminist philosophy the phenomenological concept of experience has yet to recover from the poststructuralist critique.

In this article, I will closely examine the poststructuralist critique of the concept of experience within the context of feminist theory. I will thereby refer first and foremost to the poststructuralist theorist Joan Scott, and her influential text “‘Experience’”. In my examination of the poststructuralist critique of experience, the leading question will be whether or not this critique, down to its details, can in fact be applied to phenomenology. My thesis is that phenomenology is able to withstand the poststructuralist critique of experience. Further, I will argue that post‐structuralism and phenomenology have more in common as regards the concept of experience than is usually admitted. For several reasons, it seems – as I will maintain – that both poststructuralist feminism and phenomenology are equally interested in a strong concept of experience and thus do not promote doing away with the concept.     

Medical Ethicists,Human Curiosities,and the New Media Midway

Abstract

Medical ethicists have assumed a role in justifying public voyeurism of human “curiosities.” This role has precedent in how scientists and natural philosophers once legitimized the marketing of museums of “human curiosities.” At the beginning of the twentieth century, physicians dissociated themselves from entrepreneurial displays of persons with anomalies, and such commercial exhibits went into decline. Today, news media, principally on television, promote news features about persons that closely resemble the nineteenth century exhibits of human curiosities. Reporters solicit medical ethicists for soundbites to affirm the newsworthiness and propriety of public voyeurism of these medical stories. Ethicists' soundbites are usually ambiguous or self-evident and rarely enable viewers to morally engage the issues. The precedent of early twentieth century physicians disengaging from such exploitive public shows is a useful example for medical ethics.     

The “Ought-Is” Problem: An Implementation Science Framework for Translating Ethical Norms Into Practice

Abstract

We argue that once a normative claim is developed, there is an imperative to effect changes based on this norm. As such, ethicists should adopt an “implementation mindset” when formulating norms, and collaborate with others who have the expertise needed to implement policies and practices. To guide this translation of norms into practice, we propose a framework that incorporates implementation science into ethics. Implementation science is a discipline dedicated to supporting the sustained enactment of interventions. We further argue that implementation principles should be integrated into the development of specific normative claims as well as the enactment of these norms. Ethicists formulating a specific norm should consider whether that norm can feasibly be enacted because the resultant specific norm will directly affect the types of interventions subsequently developed. To inform this argument, we will describe the fundamental principles of implementation science, using informed consent to research participation as an illustration.     

Corporal punishment in the public schools

Abstract

A phenomenological approach to psychopathology is illustrated through an inquiry into the meanings of agoraphobia. A classical and a contemporary phenomenological comprehension are presented. Utilizing the thought of Erwin Straus, the classical approach articulates the problem in terms of lived body and spatiality. the contemporary version suggests the necessity of combining existential and psychoanalytic understandings to be faithful to the phenomenon as disclosed in clinical praxis. General implications for a contemporary phenomenological psychopathology are discussed.     

Virtues as Qualities of Character

Over the last two decades, a growing philosophical literature has subjected virtue ethics to empirical evaluation. Drawing on results in social psychology, a number of critics have argued that virtue ethics depends upon false presuppositions about the cross-situational consistency of psychological traits. Alasdair MacIntyre’s After Virtue has been a prime target for the situationist critics. This essay assesses the situationist critique of MacIntyre’s account of virtue. It argues that MacIntyre’s social teleological account of virtue is not what his situationist critics take it to be. Virtues, for MacIntyre, are not reducible to psychological traits. They are qualities of one’s socially constituted character, and their intelligibility as virtues derives from their role in the narrative of one’s life. Recognizing this both clarifies and complicates debates about the implication of situationist social psychology for virtue ethics. It also grants a new significance to MacIntyre’s attention to the socio-historical context of virtue, a significance that should be especially interesting to religious ethicists.     

Phenomenology of the human condition

Abstract

This paper addresses two issues. The first part deals with the classic question of human nature by focussing on the problem of human consciousness, in particular, the relationship between subjective and intentional consciousness. I argue for an essential link between subjectivity and intentionality by suggesting a phenomenological conception of the human condition. On this basis, the second part deals with what I call ‘humane’ ethics. This part shows that my conception of the human condition contains a humane approach to morality.     

The Turn from Ontology to Ethics: Three Kantian Responses to Three Levinasian Critiques

Abstract

Both Kant and Levinas state that traditional ontology is a type of philosophy that illegitimately forces the structure of human reason onto other beings, thus making the subject the center and origin of all meaning. Kant’s critique of the ontology of his scholastic predecessors is well known. For Levinas, however, it does not suffice. He rejects what we could call an ‘existential ontology’: a self-centered way of living as a whole, of which all philosophical ontology is but a branch. Alternatively, he presents an ethical way of living centered on ‘the Other’. Kant also, however, eventually turns to ethics to uncover a more fundamental domain of meaning. Hence, both thinkers ultimately agree about the primacy of ethics over theory. Despite this concurrence, Levinas nevertheless criticizes all aspects of Kant’s turn towards ethics: his reason for making this turn, the kind of critique that he applies to this domain, and the outcome thereof. These three points reflect Levinas’ more general critique that Kant did not succeed in overcoming ontological discourse. This paper shows how Kant can reply to, and overcome, each of Levinas’ three critiques. In this way, I reveal certain commonalities between these two thinkers that commentators still often overlook.     

A systematic review of activities at a high-volume ethics consultation service

We describe the ethics consultation service (ECS) at the Cleveland Clinic and report on its activities over a 24-month period in which 478 consultations were performed.To our knowledge, this is the largest case series of ethics consultations reported to date. Established more than 25 years ago, the ECS at the Cleveland Clinic is staffed by multiple consultants with advanced training in bioethics. Several of these ethicists work closely with specialized clinical units and research departments, where they participate in multidisciplinary meetings and provide specialized assistance. This combination of historical experience, large numbers of consultation requests, and specialized clinical ethicists suggests that the experience at the Cleveland Clinic may be helpful to ethicists and others who may be considering how to structure and sustain a vibrant ECS. Our results highlight the diversity of activities performed by a high-volume ECS at a tertiary care facility. Our hope in sharing the inner workings of the ECS at the Cleveland Clinic is to promote dialogue on common practices and approaches across medical institutions that support ethics consultation.     

A response to Nordstrom and pilgrim's critique of Alan watts’ mysticism

Abstract

Experiencing the sacred is a paradigmatic spiritual phenomenon, revered across diverse eras and cultures. This empirical research is a human scientific inquiry into the sacred in everyday life. In‐depth interviews are interpreted via a rigorous phenomenological method. A dialogue involving transpersonal psychology, existential phenomenology, psychoanalysis, and the world's spiritual traditions is presented, including an appreciation and critique of Freud's interpretation of religion. Revelation and awareness of an essential, interpermeating communion between self and world constitutes the core of experiencing the sacred. This involves a metamorphosis from an egoic to transpersonal self‐sense and way of being.     

Is critique possible in the study of lived religion? Anthropological and feminist reflections

ABSTRACT

This article, based on the author’s fieldwork in a Catholic context, aims to theorise the dilemmas of taking seriously religious worlds at precisely those moments when they may be in tension with academic worldviews in terms of epistemology and ontology. The lived religion approach has emerged as a critical enterprise which serves as a corrective to more text-based or macro-sociological approaches, developing a form of radical non-reductionism and a preference for ethnographic approaches. This article aims to explore this critical edge of the lived religion approach further to address the modernist legacy in the study of religion. It will do so by bringing two anthropological approaches into the conversation that both challenge, albeit in different ways, the modernist underpinnings of studying religion within anthropology: phenomenological anthropology and what is called ‘the ontological turn’. The second part of the article centres on the question whether critique is possible in the pursuit of a non-reductionist approach to studying lived religion, taking up the question ‘is critique secular?’ posed by Talal Asad et al. This article suggests ways to take the impossibility of critique forward by following up some directions within the anthropological approaches already presented and linking this with feminist thinking on the status and role of academic knowledge.     

Democratic pluralism and majority rule

Abstract

I argue that Metz’s undertaking, in seeking a ‘comprehensive basic norm’ to underpin African ethics, is similar to Hans Kelsen’s postulation of the Grundnorm in his Pure Theory of Law. But African ethics does not need to be underpinned by an approach such as Kelsen’s. In my view, Metz’s preference for seeking to develop a Grundnorm rests upon a failure to attend carefully to the distinctness of African ethical thinking from Western ethical thinking. This failure is manifest in a spurious distinction (on which Metz relies) between ‘moral anthropology’ / ‘cultural studies’ and ‘normative theory’. It is also manifest in Metz’s failure to attend carefully to the work of Wiredu and Bujo, both of whom present systematic, critical analyses of African ethical thinking while implicitly rejecting the quest for a Grund norm as being unAfrican.     

Holy mothers of God: sex work,inheritance, and the women of Jesus’ genealogy*

ABSTRACT

In this article I consider the stories of Jesus’ women ancestors in the genealogy which opens the Gospel of Matthew. Reading these stories in light of Marxist-feminist analyses of marriage, sex work and reproductive labor, alongside contemporary sex workers’ rights discourse, and through Marcella Althaus-Reid's claim that all theology is “a sexual act”, I explore their implications for contemporary debates about property and propriety in both Christian systematic theology and contemporary Christian sexual ethics – which cannot, of course, be disentangled from one another. To conclude, I return to the twinned questions of righteousness and purity which centrally define both theological accounts of Christian identity and Christian sexual ethics, suggesting that righteousness relies for its coherence not only on the abjection of those who fall short of its standards, but also on their labor.