Research in Applied Ethics: Problems and Perspectives

The last few decades have seen a dramatic increase in concern with matters of ethics in all areas of public life. This ‘applied turn’ in ethics raises important issues not only of focus, but also of methodology. Sometimes a moral end or moral feature is designed into an institution or technology; sometimes a morally desirable outcome is the fortuitous, but unintended, consequence of an institutional arrangement or technological invention. If designing-in ethics is the new methodological orientation for applied ethics, globalisation is providing many of the practical ethical problems upon which to deploy this methodology. This is a revised version of an article that was presented at the 2007 Applied Ethics Conference in Sapporo, Japan, hosted by the University of Hokkaido. Thanks to Jeroen van den Hoven for the key idea of ‘designing-in-ethics’.     

A Community Responds to Collective Trauma: An Ecological Analysis of the James Byrd Murder in Jasper, Texas

The brutal murder of James Byrd Jr. in June 1998 unleashed a storm of media, interest groups, high profile individuals and criticism on the Southeast Texas community of Jasper. The crime and subsequent response—from within the community as well as across the world—engulfed the entire town in a collective trauma. Using natural disaster literature/theory and employing an ecological approach, Jasper, Texas was investigated via an interrupted time series analysis to identify how the community changed as compared to a control community (Center, Texas) on crime, economic, health, educational, and social capital measures collected at multiple pre- and post-crime time points between 1995 and 2003. Differences-in-differences (DD) analysis revealed significant post-event changes in Jasper, as well as a surprising degree of resilience and lack of negative consequences. Interviews with residents conducted between March 2005 and 2007 identified how the community responded to the crisis and augmented quantitative findings with qualitative, field-informed interpretation. Interviews suggest the intervention of external organizations exacerbated the severity of the events. However, using strengths of specific local social institutions—including faith based, law enforcement, media, business sector and civic government organizations—the community effectively responded to the initial threat and to the potential negative ramifications of external entities.     

Book Reviews

Kressel, Neil J. (ed.) Political Psychology: Classic and Contemporary Readings
Barber, James David The Book of Democracy
Aron, Adrianne and Corne, Shawn (eds) Writings for a Liberation Psychology: Ignacio Martin-Baró
Ettin, Mark F.; Fidler, Jay W. and Cohen, Bertram D. Group Processes and Political Dynamics     

Ethical principles and cultural integrity in health care delivery: Asian ethnocultural perspectives in genetic services

The tradition of Western thought is not always ubiquitous when working within the context of different ethnocultural populations, particularly that of Asian culture, and often poses ethical quandaries for health care professionals engaged in genetic services. For example, understanding the Asian ethnocultural perspective of patient autonomy, informed consent, and nondirective counseling from the Western perspective may be inappropriate and compromise cultural integrity and the delivery of effective genetic services because: (1) A distinction exists between the role of Asian (collective) autonomy vs. Western (individual) autonomy in the decision-making process. (2) The medical model is complementary to Asian expectations and respect of authority and may result in an uninformed consent to genetic professional's recommendations. (3) Misinterpretations of the normative decision-making process, misconceptions of normalcy, and the limits of tolerance of nondirective counseling may result in less effective treatment and compliance. Therefore, we suggest that acknowledging the impact of ethnicity and culture on ethical principles as applied in genetic services is essential in the assessment and delivery of ethically and culturally appropriate health care.     

Enhancing the Self-Esteem and Social Competence of Hyperactive Children: A Semi-Structured Activity Group Therapy Model

This article proposes a semi-structured activities group model for addressing the fragile self-esteem and social discord often shown by hyperactive children. Included is a discussion of the amount of structure and types of activities necessary to foster effective group work with this client population. The author asserts that hyperactivity oftentimes is better conceptualized in terms of unmet exhibitionistic needs, the sensitive handling of which can impact the acquisition of healthy self-esteem. Another key focus is the role of shame in manifestations of aggression and externalization of blame that diminish the social competence of hyperactive children. Clinical vignettes are used to illustrate key points.     

Children of Incarcerated Mothers

We review the literature on children whose mothers are incarcerated in jails or prisons. These children typically experience a great many risk factors besides their mothers' incarceration, including poverty, drug and alcohol problems in their families, community violence, and multiple changes in caregivers. Children's lives are greatly disrupted when mothers are arrested, and most children show emotional and behavioral problems. The impact this has depends on the age of the child, the alternate caregiving arrangements, and the course of the mother's incarceration. Children of incarcerated mothers experience internalizing (fear, withdrawal, depression, emotional disturbance) and externalizing (anger, fighting, stealing, substance abuse) problems, as well as heightened rates of school failure and eventual criminal activity and incarceration. Research in this area is scarce and often of poor quality. A research agenda which is guided by a transactional, ecological, and developmental model, and which examines children's well-being over the course of the mothers' incarceration is suggested.     

Overshadowing the Reminiscence Bump: Memories of a Struggle for Independence

We describe a study in which young and older groups of Bangladeshi participants recalled and dated autobiographical memories from across the lifespan. Memories were subsequently plotted in terms of the age of participants at time of encoding. As expected the reminiscence bump, preferential recall of memories from the period of 10 to 30 years of age, was observed. This was very marked in the younger group and but less so in the older group who also showed a second bump in the period 35 to 55 years of age. This second bump corresponded to the period of national conflict between Pakistan and the Bengalee people that resulted in the formation of an independent Bangladesh. It is proposed that both the reminiscence bump and later periods of unexpected rises in recall can be accounted for by the raised accessibility of sets of memories and this in turn is a product of the privileged encoding of highly self-relevant experiences.     

Defect and Recognition in Sophocles’ <Emphasis Type="Italic">Oedipus Rex</Emphasis>

This paper explores the relationships between experienced defect and the subsequent shame and longing for recognition. A clinical vignette is presented in which a young woman sought treatment for her infidelity to her husband: a behavior she found totally mystifying and deeply troubling. Using Bollas’ concept of “the unthought known,” parallels are drawn between this patient, who was adopted at 2 weeks of age, and Oedipus’ experience of knowing and not knowing his fate. A case is made for the idea that we both avoid and seek to know what is unbearable about ourselves, including our sense of defects. One motivation for this is the longing to be seen, recognized, known, and, finally, know one’s self.     

Social Phobia and the Experience of Shame: Childhood Origins and Pastoral Implications

While social phobia is typically diagnosed in adolescence, the roots of social phobia are found in childhood experiences of shame. When shame occurs because of a failure to meet a child’s need this creates a fundamental uncertainty which can become internalized in the form of self-contempt. Emotions such as sadness are sometimes forbidden by caregivers, and the expression of natural sexual drives are sometimes prohibited. Such experiences create shame and may keep the person from feeling emotions and drives because shame has displaced the real emotion. The fractures in early relationships can be restored through the healing presence of another. The pastor has access to persons with social phobia who may not be willing to seek psychiatric care and is in a unique position to bring the resources of the church to bear in the lives of persons with social phobia. To do so, she moves away from the extroverted frame of reference within which the church frequently operates.Philip Browning Helsel, a graduate of Princeton Theological Seminary, serves as a Chaplain Resident in the Clinical Pastoral Education program at Yuma Regional Medical Center in, Yuma, AZ     

Critical thinking as cooperation and its relation to mental health and social welfare

The purpose of this theoretical investigation was to examine critical thinking as a realization of human cooperation, affecting both mental health and social welfare. Although critical thinking contains a critical stance toward any asserted standpoint, such a critical stance appears, paradoxically, to have developed from cooperation and the shared goals of human beings. Moreover, although critical thinking has been seen in academic literature to be anchored on culturally developed rules and principles of rational dialogue as well as on effective learning methods, investigators have not interconnected critical thinking and human cooperation comprehensively enough. To solve the dilemma, we will use available scientific knowledge to examine how cooperation and socially shared goals are realized in critical thinking, especially in a critical stance. The view of critical thinking as cooperation places it ontogenetically and phylogenetically into a wider theoretical framework which also provides a novel perspective on mental health and social welfare. The deterioration of rational thinking in the context of mental disorders may be explained by failures of cooperation, which can contain epistemic distrust and an inability to mentalize the viewpoints of others. These features may clarify some causes why some contemporary dialogues and critical contributions are divisive in worldwide, especially in social media.