Ethnicity and the ethic of caring in african american families

Abstract

Several important demographic and economic factors have led to the shift in medical caregiving work from health care professionals to family members, primarily women. The growth in family caregiving has spawned numerous studies on how caring for the sick affects unpaid family caregivers. While caregiving work can be gratifying, most studies have focused on the negative effects, such as its adverse impact on the health and employment of caregivers. Only recently have we begun to expand this literature by examining the impact of ethnicity, specifically culture, on family caregiving. This study argues that African American families have retained specific cultural values and developed family systems which may lessen the negative impact of caregiving on families.     

The response model of moral disgust

The philosophical debate over disgust and its role in moral discourse has focused on disgust’s epistemic status: can disgust justify judgments of moral wrongness? Or is it misplaced in the moral domain—irrelevant at best, positively distorting at worst? Correspondingly, empirical research into disgust has focused on its role as a cause or amplifier of moral judgment, seeking to establish how and when disgust either causes us to morally condemn actions, or strengthens our pre-existing tendencies to condemn certain actions. Both of these approaches to disgust are based on a set of assumptions that I call, in what follows, the evidential model of disgust. This paper proposes an alternative model, which I call the response model. Instead of looking at disgust as a cause and justification of judgments of moral wrongness, I will argue that disgust is better understood as a response to wrongness. More precisely, I argue that disgust is a response to norm violations, and that it is (sometimes) a fitting response insofar as norm violations are potentially contagious and therefore pose a threat to the stability and maintenance of norms.     

Relational suffering and the moral authority of love and care

Suffering is a ubiquitous yet elusive concept in health care. In a field devoted to the pursuit of objective data, suffering is a phenomenon with deep ties to subjective experience, moral values, and cultural norms. Suffering’s tie to subjective experience makes it challenging to discern and respond to the suffering of others. In particular, the question of whether a child with profound neurocognitive disabilities can suffer has generated a robust discourse, rooted in philosophical conceptualizations of personhood as well as the academic and experiential expertise of practiced health-care professionals. The issue remains unresolved because it is difficult, perhaps impossible, to ever truly know an infant’s lived experience. But what if this is not the best question? What if instead of asking “can this infant suffer?” the discourse is broadened to ask “is there suffering here?” This latter question demands attention to patients’ subjective experiences of suffering, but also to the web of relationships that envelop them. Without losing sight of the importance of patients’ experiences, consideration of their relationships may elucidate the presence of suffering when the patients themselves are unable to provide the same clarity. In this essay, care ethics frames an examination of how suffering manifests in the loving and caring relationships that surround an infant with profound neurocognitive disabilities, changing those relationships and affecting the individuals within them. Exploring suffering through these relationships may offer clarity on the presence and content of suffering for infants with profound cognitive disabilities, in turn offering moral guidance for responding to suffering and supporting flourishing in this context.

     

The moral status of a human fetus: a response to Lee.

It is an undeniable empirical fact that a human fetus is a member of the species homo sapiens from the moment of conception. There is thus an important sense in which it is a human being in itself, and not simply part of a pregnant woman's body, despite what defenders of abortion on demand might want us to think. It is also reasonable to suppose that all human beings, and thus human fetuses, are persons, with all that entails, but this is a metaphysical presupposition as opposed to an empirical fact, and is thus contentious. It is argued, however, that this should be of little comfort to the defenders of abortion, because the mere fact that human fetuses have an inherent tendency to become persons is sufficient reason to confer a moral status upon them, which renders abortion morally problematic at best.     

Differing conceptions of moral exemplarity: just, brave, and caring

People's conceptions of different types of moral exemplarity were examined in an attempt to augment the current emphasis on moral rationality with a fuller understanding of moral personality. In Study 1 (with 805 adults), a free-listing procedure was used to generate the attributes of 3 types of moral exemplars (just, brave, and caring). In Study 2 (with 401 undergraduates), prototypicality- and personality-rating procedures were used to generate a personality profile for each type of moral exemplar and to examine the relations among them. In Study 3 (with 240 undergraduates), a similarity-sorting procedure was used to identify the typologies implicit in people's understanding of these different types of moral exemplarity. The findings indicate that moral excellence can be exemplified in rather divergent ways and that understanding of moral functioning would be enhanced by attention to this wider range of moral virtues.     

The ethic of care development: a longitudinal study of moral reasoning among practical-nursing, social-work and law-enforcement students

The study investigated changes in care-based moral reasoning, in the context of justice development over the 2-year period among practical-nursing, bachelor-degree social-work and law-enforcement students (N = 59). Main measures were Skoe's Ethic of Care Interview and Colby et al.'s Moral Judgment Interview. Of the participants 34% progressed in care reasoning, and 48% in justice reasoning. Social-work and nursing students progressed in care reasoning, and all groups progressed in justice reasoning. One participant (1.7%) regressed in care reasoning. Care and justice reasoning were parallel in terms of internal consistency, and they were positively related to each other. Findings suggest that care reasoning follows a developmental sequence, involving three main and two transitional levels, as suggested by Gilligan (1982). Main levels include self-concern (Level 1), caring for others (Level 2), and balanced caring for self and others (Level 3).     

Commercial contracts and the moral contract: a response to Nigel Cameron

John E. Hare responds to Cameron's article by challenging the adequacy of the Hippocratic Oath as a basis for ethical medicine. The Oath promoted a "guild mentality" that is evident, for example, in modern medicine's resistance to alternative forms of practice. Christians need to "winnow" bioethical views, both those traditionally honored and those that confront us because of new medical developments.     

从人造美女看男女平等

男女不平等是历史发展一定阶段的必然产物,男女平等又是历史发展的必然要求和方向.现在时髦的选美和人造美女等,是对女性"价值全面性"的否定,是对女性的不尊重.男女平等的基础是劳动的平等,参加社会劳动是妇女解放的一个重要的先决条件.     

The act of death and the gift of suffering: a response to Breck, Amundsen, and Bresnahan.

This response to the articles by Breck, Amundsen, and Bresnahan is argued from a traditional Orthodox point of view, which accepts the historical Tradition of the Church and recognizes the relevance of this Tradition in the modern world. Traditional Orthodox ethics is grounded in a radical perception of the Resurrection of Christ. Many Western and Eastern commentators on Orthodox religion and spirituality have noted the centrality of the Resurrection to all facets of our Tradition. Thus the discussion of euthanasia should be seen in the light of the Resurrection of Christ.     

The effects of moral judgment and moral identity on moral behavior: an empirical examination of the moral individual

Recognizing limitations in classic cognitive moral development theory, several scholars have drawn from theories of identity to suggest that moral behavior results from both moral judgments and moral identity. The authors conducted 2 survey-based studies with more than 500 students and managers to test this argument. Results demonstrated that moral identity and moral judgments both independently influenced moral behavior. In addition, in situations in which social consensus regarding the moral behavior was not high, moral judgments and moral identity interacted to shape moral behavior. This interaction effect indicated that those who viewed themselves as moral individuals pursued the most extreme alternatives (e.g., never cheating, regularly cheating)--a finding that affirms the motivational power of a moral identity. The authors conclude by considering the implications of this research for both theory and practice.     

The dual moral self: moral centrality and internal moral motivation

In this study, the relationship between two aspects of the moral self, moral centrality and internal moral motivation, was analyzed. It is argued that these 2 aspects are conceptually distinct but nonetheless empirically related. Based on a cross-sectional study of 205 adolescents (M age = 14.83 years, SD = 2.21 years) it was found that moral centrality and internal moral motivation, even though substantially correlated, interacted in predicting moral emotion expectancies. Even though moral centrality was unrelated to adolescents' age it predicted a longitudinal increase in internal moral motivation over a 1-year interval. Overall, the findings call for a differentiation of moral centrality and internal moral motivation as 2 distinct but interrelated aspects of moral self-development that follow different developmental trajectories and are differentially related to age. At the same time, the study points out that adolescence may be less important for the development of the moral self than commonly assumed.     

The protestant work ethic: A review of the psychological literature

Despite criticism of Weber's thesis concerning the Protestant Work Ethic (PWE) and the rise of Capitalism, few have challenged the specification of the behaviour patterns, goals and values of those adhering to this ethic. Whereas psychologists have not been very interested in the nature of the historical, political and sociological arguments concerning the PWE, they have devoted a great deal of research to its measurement and correlates. In this paper the concept of the PWE; the literature on the instruments devised to measure the PWE; studies on the relationship between the PWE and work and unemployment; as well as research on the PWE and individual differences is reviewed. Despite great heterogeneity in aims, methodology and instruments used in different studies, a coherent picture of PWE beliefs emerges. Finally an elaboration of a new perspective on PWE research is suggested.     

Roles of moral philosophy in appropriated bioethics: a response to Baker and McCullough

Strong arguments support the notion that much of modern bioethics is a result of appropriation rather than strict application of traditional moral philosophy. Nevertheless, it is important to recognize these sources and approaches associated with them, even when working with appropriated theories, since traditional ethical theory does and should influence modern bioethics.     

There is no moral authority in medicine: response to Cowdin and Tuohey.

Central to the Cowdin-Tuohey paper is the concept of a moral authority proper to medical practitioners. Much as I agree with the authors in refusing to degrade doctors to the status of mere technicians, I argue that one does not succeed in retrieving the moral dimension of medical practice by investing doctors with moral authority. I show that none of the cases brought forth by Cowdin-Tuohey really amounts to a case of moral authority. Then I try to explain why no such cases can be found. Developing an insight that is common to all the major moral thinkers in the philosophia perennis, I show that doctors are professionally competent with respect only to a part of the human good; morally wise persons are competent with respect to that which makes man good as man. I try to show why it follows that a) professional expertise has no natural tendency to pass over into moral understanding, and that b) doctor and non-doctor alike start from the same point in developing their understanding of medical morality. It follows that the authors fail in their attempt to de-center the moral magisterium of the Church by setting up centers of moral authority outside of the Church.     

Imagining ethical globalization: The contributions of a care ethic

Approaches to global ethics have drawn on a number of diverse theoretical traditions, such as Kantianism and utilitarianism. While emerging frameworks contribute to a growing awareness of and interest in ethics within a global society, the values that they prioritize are not adequate for realizing a just, equitable and fair system of global governance. This article considers the possibilities of an alternative ethic—a feminist ethic of care—and explores how it can bear on present circumstances, including global inequity and injustice. This care ethic has been put forward as a viable normative approach to politics and policy. Little attention, however, has been paid to the potential of a care ethic within the globalization and ethics debate. This article illustrates how the values and corresponding principles of care, grounded in relationships and responsibilities, are essential to responding adequately to the current challenges of globalization. By examining the relevance of care in this context, the article seeks to broaden dominant ethical worldviews and contribute to the articulation of normative tools for examining globalization while at the same time avoiding the trappings of conventional universality—the abstract and a priori thinking typically associated with conceptions of global ethics.