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Moore's Vascular and Endovascular Surgery E-Book: Moore's Vascular and Endovascular Surgery E-Book
by Wesley S. MooreUsing an easy-to-read, user-friendly format and hundreds of review questions that facilitate effective studying, Vascular and Endovascular Surgery: A Comprehensive Review, 9th Edition, contains the essential information you need for exam success and daily reference. Dr. Wesley Moore and a team of international experts cover everything from foundational concepts to the latest developments in the field, with each specialist providing a complete summary of a particular area of expertise. Extensive updates throughout the text keep you current with all that's new in this rapidly expanding field. - Presents indications, techniques, and results of the spectrum of open vascular operations including carotid endarterectomy, repair of abdominal aortic aneurysm, aorto-femoral bypass, and infra-inguinal bypass, as well as management of varicose veins and deep venous occlusive disease. - Contains hundreds of review questions for self-assessment and exam preparation, enhancing your study with superb, easy-to-follow illustrations: line drawings, photographs, duplex ultrasound, magnetic resonance angiography, CT angiography, and catheter-based contrast angiography. - Discusses key topics such as catheter-based intervention, including endovascular repair of thoracic and abdominal aortic aneurysm, aorto-iliac and femoral-popliteal-tibial occlusive disease, and carotid artery stenting. - Features five new chapters: Congenital Arterial Malformations; Atherectomy and Arterial Closure Devices; Carotid Body Tumors; Building a Hybrid Operating Suite including Robotic Capability; and Management of Venous Leg Ulcers. - Provides up-to-date coverage of the increasingly important role of endovascular intervention in the vascular surgeon's practice. - Details the latest medical management of vascular disease including treatment of hypertension, risk factor modification, and the use of anti-platelets, anti-coagulants, and statins. - Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Moral Acquaintances and Moral Decisions: Resolving Moral Conflicts in Medical Ethics (Philosophy and Medicine #103)
by Stephen S. HansonThe potential of modern medicine in a pluralistic world leads to the potential for moral conflict. The most prevalent bioethical theories often either overestimate or underestimate the amount of shared moral belief that can be used to address those conflicts. This work presents a means for taking seriously the pluralism in the modern world while recognizing the likelihood of moral “acquaintance” between persons with differing views. It criticizes moral theories that overstate the extent of the problem of pluralism as well as those that imply too much agreement between reasonable moral persons, yet it locates a means for the resolution of many moral conflicts in moral acquaintanceship. Drawing from the work of H. Tristram Engelhardt, Jr., casuists and principle-based theorists, and Erich Loewy and Kevin W. Wildes’s initial development of the concept of moral acquaintanceship, Moral Acquaintances and Moral Decisions is philosophically indepth work with direct applications for decisionmaking in real medical settings. A work in moral theory as well as a source of real world guidance, clinically oriented bioethics professionals as well as students of bioethical theory should find the theory of moral acquaintanceship provided here important to their work.
Moral Agendas For Children's Welfare
by Michael KingMoral Agendas for Children's Welfare examines the roles played by politics, religion, ethics, aesthetics, law and science in identifying children's needs and rights and critically analyses existing child welfare policies.Five sections cover the following Agendas:* Philosophical and Psychoanalytical* Psychological and Sociological* Religious * Social Policy* Child Protection.Moral Agendas for Children's Welfare will provide invaluable reading for students in law, social work and policy and sociology and professionals in welfare, health care and law.
Moral Agendas For Children's Welfare
by Michael KingMoral Agendas for Children's Welfare examines the roles played by politics, religion, ethics, aesthetics, law and science in identifying children's needs and rights and critically analyses existing child welfare policies.Five sections cover the following Agendas:* Philosophical and Psychoanalytical* Psychological and Sociological* Religious * Social Policy* Child Protection.Moral Agendas for Children's Welfare will provide invaluable reading for students in law, social work and policy and sociology and professionals in welfare, health care and law.
The Moral Brain: Essays on the Evolutionary and Neuroscientific Aspects of Morality
by Jan Verplaetse Jelle Schrijver Sven Vanneste Johan BraeckmanScientists no longer accept the existence of a distinct moral organ as phrenologists once did. A generation of young neurologists is using advanced technological medical equipment to unravel specific brain processes enabling moral cognition. In addition, evolutionary psychologists have formulated hypotheses about the origins and nature of our moral architecture. Little by little, the concept of a ‘moral brain’ is reinstated. As the crossover between disciplines focusing on moral cognition was rather limited up to now, this book aims at filling the gap. Which evolutionary biological hypotheses provide a useful framework for starting new neurological research? How can brain imaging be used to corroborate hypotheses concerning the evolutionary background of our species? In this reader, a broad range of prominent scientists and philosophers shed their expert view on the current accomplishments and future challenges in the field of moral cognition and assess how cooperation between neurology and evolutionary psychology can boost research into the field of the moral brain.
The Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying
by Stephen G. PostSociety today, writes Stephen Post, is "hypercognitive": it places inordinate emphasis on people's powers of rational thinking and memory. Thus, Alzheimer disease and other dementias, which over an extended period incrementally rob patients of exactly those functions, raise many dilemmas. How are we to view—and value—persons deprived of what some consider the most important human capacities?In the second edition of The Moral Challenge of Alzheimer Disease, Post updates his highly praised account of the major ethical issues relating to dementia care. With chapters organized to follow the progression from mild to severe and then terminal stages of dementia, Post discusses topics including the experience of dementia, family caregiving, genetic testing for Alzheimer disease, quality of life, and assisted suicide and euthanasia. New to this edition are sections dealing with end-of-life issues (especially artificial nutrition and hydration), the emerging cognitive-enhancing drugs, distributive justice, spirituality, and hospice, as well as a critique of rationalistic definitions of personhood. The last chapter is a new summary of practical solutions useful to family members and professionals.
Moral Dilemmas in Real Life: Current Issues in Applied Ethics (Law and Philosophy Library #74)
by Ovadia EzraMoral Dilemmas in Real Life purports to supply ways of thinking of, perhaps even dealing with, the ins and outs of ethical argument. The world today presents both individuals and communities with situations, which demand moral and ethical deliberations. From the more general issues of universal globalization to the very specific problems of every-day existence encountered by active agents, contemporary life is replete with moral and ethical conundrums. Any thinking person is required, so it seems, to be concerned, involved, or – at the very least – conversant with these issues and this book supplies the wherewithal needed. Applied ethics is that intellectual locale where theory meets praxis. Moral Dilemmas in Real Life is designed to make that meeting point explicit, by presenting a series of issues in well-grounded philosophical formulations. The book begins with the general relation between the individual and society – instilling ethical tension, and even clashes, between the private and the public in our discourse. Going on, from general to specific, it gradually narrows the ethical playing field to touch on medical ethics, the family, and the practice of punishment. In all cases, the book addresses both consensual and conventional social institutions and distortions thereof.
Moral Distress in the Health Professions
by Connie M. Ulrich Christine GradyThis is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.
The Moral Distress Syndrome Affecting Physicians: How Current Healthcare is Putting Doctors and Patients at Risk
by Eldo E. Frezza, MD, MBA, FACSThe rise of suicide and burnout among physicians has brought a new disease to the healthcare provider, which we previously thought only affected the soldier: moral distress syndrome, second only to moral injury. In this book we introduce the concept of moral distress syndrome, which includes any or all of the following: depression, PTSD, risk of suicide, divorce, emotional detachment, and the inability to build healthy relationships and empathy. While veterans can report to veteran hospitals for treatment, the physician cannot find treatment or support without fear of losing their license, their hospital privileges, and their job. Therefore, they are stuck dealing with the issue themselves, along with their family or their circle of friends. To raise decisive awareness of the problems related to moral distress, we wrote this book. This book is designed around physicians talking to other physicians about their moral distresses in a safe space. It brings all the aspects of the moral distress syndrome in a format familiar to the physician: grand rounds with a magistral lecture, where the audience asks the question and directly participates on the subject. The reader will feel like part of the audience and may want to ask their own questions as the book progresses. The format of the book is divided into three parts. In the first part, the research, data, and a crude number of problems are given: moral distress syndrome, PTSD, burnout, suicide, divorce rates, emotional detachment, legal distress syndrome, physicians leaving medicine, and the feeling of being a hamster in a wheel. In the second part, we embellish on real life experiences of physicians to highlight the pain and depth of the moral distress they feel. We share stories around the character—their family, love life, divorce, etc.—to show the individual person behind the doctor. In the third part, we focus on society and physician suffering and the birth of moral distress. This part focuses on the physician’s empathy as a way to point out his problems, weaknesses, and issues, and find possible solutions for him and other physicians facing the same issues. At the end of the third part, we discuss how it is the responsibility of physicians, patients, and society as a whole to heal in the face of moral injury, as recommended by the American Medical Association. We finish with the search for good friends and safe spaces, the cornerstones for the healing process. Structure of the Chapters. To make it easier to follow the material, at the beginning of each chapter we outline the points discussed, as a speaker outlines the material, summarizing it in the first slide of each topic. We hope that this way the readers can focus on the issues quickly throughout the book. This book is formatted as a business novel and therefore the characters and situations are drawn from liberally. As well as reading like a novel, the reader can read each chapter separately and still understand the points.
The Moral Distress Syndrome Affecting Physicians: How Current Healthcare is Putting Doctors and Patients at Risk
by Eldo E. Frezza, MD, MBA, FACSThe rise of suicide and burnout among physicians has brought a new disease to the healthcare provider, which we previously thought only affected the soldier: moral distress syndrome, second only to moral injury. In this book we introduce the concept of moral distress syndrome, which includes any or all of the following: depression, PTSD, risk of suicide, divorce, emotional detachment, and the inability to build healthy relationships and empathy. While veterans can report to veteran hospitals for treatment, the physician cannot find treatment or support without fear of losing their license, their hospital privileges, and their job. Therefore, they are stuck dealing with the issue themselves, along with their family or their circle of friends. To raise decisive awareness of the problems related to moral distress, we wrote this book. This book is designed around physicians talking to other physicians about their moral distresses in a safe space. It brings all the aspects of the moral distress syndrome in a format familiar to the physician: grand rounds with a magistral lecture, where the audience asks the question and directly participates on the subject. The reader will feel like part of the audience and may want to ask their own questions as the book progresses. The format of the book is divided into three parts. In the first part, the research, data, and a crude number of problems are given: moral distress syndrome, PTSD, burnout, suicide, divorce rates, emotional detachment, legal distress syndrome, physicians leaving medicine, and the feeling of being a hamster in a wheel. In the second part, we embellish on real life experiences of physicians to highlight the pain and depth of the moral distress they feel. We share stories around the character—their family, love life, divorce, etc.—to show the individual person behind the doctor. In the third part, we focus on society and physician suffering and the birth of moral distress. This part focuses on the physician’s empathy as a way to point out his problems, weaknesses, and issues, and find possible solutions for him and other physicians facing the same issues. At the end of the third part, we discuss how it is the responsibility of physicians, patients, and society as a whole to heal in the face of moral injury, as recommended by the American Medical Association. We finish with the search for good friends and safe spaces, the cornerstones for the healing process. Structure of the Chapters. To make it easier to follow the material, at the beginning of each chapter we outline the points discussed, as a speaker outlines the material, summarizing it in the first slide of each topic. We hope that this way the readers can focus on the issues quickly throughout the book. This book is formatted as a business novel and therefore the characters and situations are drawn from liberally. As well as reading like a novel, the reader can read each chapter separately and still understand the points.
Moral Entanglements: The Ancillary-Care Obligations of Medical Researchers
by Henry S. RichardsonThe philosopher Henry Richardson's short book is a defense of a position on a neglected topic in medical research ethics. Clinical research ethics has been a longstanding area of study, dating back to the aftermath of the Nazi death-camp doctors and the Tuskegee syphilis study. Most ethical regulations and institutions (such as Institutiional Review Boards) have developed in response to those past abuses, including the stress on obtaining informed consent from the subject. Richardson points out that that these ethical regulations do not address one of the key dilemmas faced by medical researchers -- whether or not they have obligations towards subjects who need care not directly related to the purpose of the study, termed "ancillary care obligations." Does a researcher testing an HIV vaccine in Africa have an obligation to provide anti-retrovirals to those who become HIV positive during the trial? Should a researcher studying a volunteer's brain scan, who sees a possible tumor, do more than simply refer him or her to a specialist? While most would agree that some special obligation does exist in these cases, what is the basis of this obligation, and what are its limits? Richardson's analysis of those key questions and the development of his own position are at the heart of this book, which will appeal to bioethicists studying research ethics, to policy makers, and to political and moral philosophers interested in the obligations of beneficence, one of the key issues in moral theory. " 'Philosophy recovers itself,' wrote John Dewey, 'when it ceases to be a device for dealing with the problems of philosophers and becomes a method, cultivated by philosophers, for dealing with the problems of men.' Henry Richardson confronts a problem in the ethics of medical research that is often (as his many real-life examples show) a matter of life and death. The problem is unexplored and quite difficult: Richardson finds he must craft new theory to deal with it. The theory he creates shows how we become morally entangled with others without intending to, as we enter into intimacies with them. This theory of moral entanglement is a genuine discovery in philosophy, with application across a wide range of human relationships. Since the theory was designed for medical researchers it also provides a bespoke ethical framework, as well as specific guidance, for researchers in the field. This book shows practical philosophy at its best: inspired by real problems, responding with powerful solutions." -- Leif Wenar, Chair of Ethics, King's College London "A medical researcher investigating transmission of malaria may find that a subject has another disease. Does the researcher have an obligation to devote some of the team's resources to treating this disease? The traditional principles of research ethics do not ask much less answer this important question. In this theoretically and practically rich book, Henry Richardson seeks to provide an answer and to identify issues that need further exploration. He argues that "ancillary care obligations" are explained by "moral entanglement" and cannot be justified by traditional principles of justice or the duty to rescue. He is admirably soft-hearted and tough-minded in combining his long demonstrated philosophical acuity with a deep knowledge of the problems on the ground. Richardson's book is characterized by great generosity towards those who need help, towards the problems faced by researchers, and towards the scholarly community - even those with whom he disagrees." - Alan Wertheimer, Senior Research Scholar, Department of Bioethics, National Institutes of Health "In this important book, Henry Richardson sculpts a new path for research ethics, one that focuses on ethical obligations of ancillary-care in clinical trials and medical research, particularly in developing countries, but with relevance throughout the world. In Moral Entanglements, Richardson extends the reach of his analysis both deep within and outside the research itself, recognizing the broader moral backdrop
Moral Equality, Bioethics, and the Child (International Library of Ethics, Law, and the New Medicine #67)
by Claudia WiesemannPresenting real life cases from clinical practice, this book claims that children can be conceived of as moral equals without ignoring the fact that they still are children and in need of strong family relationships. Drawing upon recent advances in childhood studies and its key feature, the ‘agentic child’, it uncovers the ideology of adultism which has seeped into much what has been written about childhood ethics. However, this book also critically examines those positions that do accord moral equality to children but on grounds not strong enough to support their claim. It lays the groundwork for a theory of moral equality by assessing the concepts of parenthood, family, best interest, paternalism, and, above all, autonomy and trust which are so important in envisioning what we owe the child. It does not only show how children – like adults – should be considered moral agents from infancy but also how ethical theories addressing adults can significantly profit from recognizing this. The analysis takes into account contributions from European as well as American scholars and makes use of a wide range of ethical, psychological, cultural, and social-scientific research.
Moral Expertise: New Essays from Theoretical and Clinical Bioethics (Philosophy and Medicine #129)
by Jamie Carlin Watson Laura K. Guidry-GrimesThis collection addresses whether ethicists, like authorities in other fields, can speak as experts in their subject matter. Though ethics consultation is a growing practice in medical contexts, there remain difficult questions about the role of ethicists in professional decision-making. Contributors examine the nature and plausibility of moral expertise, the relationship between character and expertise, the nature and limits of moral authority, how one might become a moral expert, and the trustworthiness of moral testimony. This volume engages with the growing literature in these debates and offers new perspectives from both academics and practitioners. The readings will be of particular interest to bioethicists, clinicians, ethics committees, and students of social epistemology. These new essays promise to advance discussions in the professionalization and accreditation of ethics consultation.
The Moral Implications of Human and Animal Vulnerability
by Angela K. MartinIn this open access book, Angela K. Martin thoroughly addresses what human and animal vulnerability are, how and why they matter from a moral point of view, and how they compare to each other. By first defining universal and situational human vulnerability, Martin lays the groundwork for investigating whether sentient nonhuman animals can also qualify as vulnerable beings. She then takes a closer look at three different contexts of animal vulnerability: animals used as a source of food, animals used in research, and the fate of wild animals.
Moral Injuries
by Christie WatsonFrom the Sunday Times bestselling and award-winning author Christie Watson, comes a heart-pounding new psychological drama of secrets, lies, morals and medicine.'Unique and compelling' ELIZABETH DAY 'True literary perfection' EMMA JANE UNSWORTH'Heart-stopping, twisting, funny and frightening' CHRIS WHITAKER'Enthralling, gripping, deliciously dark... An immersive, unforgettable gem' RACHEL CLARKE'Propulsive, funny and filled with suspense'SARAH LANGFORDYou're trained to save the lives of others. How far would you go to protect your own? Ruthlessly ambitious Olivia, anxious perfectionist Laura and free-spirited risk-taker Anjali couldn't be more different. Yet their friendship, which began on the first day of medical school, has kept them inseparable for twenty-five years. As wild all-nighters and exam pressures gave way to the struggles and joys of new motherhood and intense jobs, their bond remained unbreakable. Years ago they promised that nothing would come between them and that they'd do anything for one another, including burying one night they have never spoken about: a drug-fuelled university party that forced them to make a deadly choice that could still destroy them. When an eerily similar tragedy strikes involving their teenage children, everything the three women have built threatens to shatter around them. And they are left asking: just how far can you stretch a friendship before it snaps?'Each new twist screeches like nails on plaster'KATHRYN MANNIX'Where medicine meets morality... with page-turning twists' NATHAN FILER'Intelligent, propulsive and disturbing... I couldn't put it down' NIKKI SMITH'An extraordinary book'JOHN SUTHERLAND'No-one writes about the drama of medicine like Christie Watson'DR GAVIN FRANCIS
Moral Neuroeducation for a Democratic and Pluralistic Society
by Patrici Calvo Javier Gracia-CalandínThis book brings together a group of top scholars on ethics and moral neuroeducation to cover the specific field of moral learning. Although there are many studies on neural bases of human learning and the application processes in different fields of human activity, such as education, economics or politics, very few of them have delved into the specific field of moral learning. This book brings forward a discursive and cordial ethical concept suitable for the theoretical-practical development of moral neuroeducation, as well as a set of guidelines for the design of an educational model that, based on moral neuroeducation, contributes to the resolution of social problems and the eradication of undesirable patterns and behaviors such as hate speech, corruption, intolerance, nepotism, aporophobia or xenophobia. Furthermore it contains a management approach for the application of this educational model to the different areas of activity involved in social and human development. A must read for students, educators and researchers in the field of moral philosophy, (applied) ethics ethics and any other discipline working with reciprocity (economics, politics, health, etc.).
Moral Power: The Magic of Witchcraft (Epistemologies of Healing #9)
by Koen StroekenNeither power nor morality but both. Moral power is what Sukuma farmers in Tanzania in times of crisis attribute to an unknown figure they call their witch. A universal process is involved, as much bodily as social, which obstructs the patient’s recovery. Healers turn the table on the witch through rituals showing that the community and the ancestral spirits side with the victim. In contrast to biomedicine, their magic and divination introduce moral values that assess the state of the system and that remove the obstacles to what is taken as key: self-healing. The implied ‘sensory shifts’ and therapeutic effectiveness have largely eluded the literature on witchcraft. This book shows how to comprehend culture other than through the prism of identity politics. It offers a framework to comprehend the rise of witch killings and human sacrifice, just as ritual initiation disappears.
Moral Resilience: Transforming Moral Suffering in Healthcare
by Cynda Hylton RushtonSuffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Moral Resilience: Transforming Moral Suffering in Healthcare
by Cynda Hylton RushtonSuffering is an unavoidable reality in healthcare. Not only are patients and families suffering, but more and more the clinicians who care for them are also experiencing distress. The omnipresent, daily presence of moral adversity is, in part, a reflection of the burgeoning complexity of healthcare, the clinician's role within it, and the expanding range of available interventions that must be balanced with competing demands. There is an urgent need to design solutions that address the myriad factors that create the conditions for imperiled integrity within the healthcare system. Moral resilience is a pathway to transform the effects of moral suffering in healthcare. Cynda Hylton Rushton and colleagues offer a novel approach to addressing moral suffering that engages transformative strategies for individuals and systems alike and leverages practical skills and tools for a sustainable workforce. By taking this approach, healthcare professionals will be able to dismantle the systemic patterns that impede ethical practice, do so with integrity, competence, and wholeheartedness. This is a must-read for clinicians and front line-nurses, physicians, system leaders, and policymakers, as it will require collective collaboration, aligned values, shared language, and intentional design to make our healthcare organizations and their clinicians healthy again.
Moral Resilience: Transforming Moral Suffering in Healthcare
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Moral Resilience: Transforming Moral Suffering in Healthcare
Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering, but more and more the clinicians who care for them are also experiencing distress. The omnipresent, daily presence of moral adversity is, in part, a reflection of the burgeoning complexity of healthcare, the clinician's role within it, and the expanding range of available interventions that must be balanced with competing demands. There is an urgent need to design solutions that address the myriad factors that create the conditions for imperiled integrity within the healthcare system. Moral resilience is a pathway to transform the effects of moral suffering in healthcare. Cynda Hylton Rushton and colleagues offer a novel approach to addressing moral suffering that engages transformative strategies for individuals and systems alike and leverages practical skills and tools for a sustainable workforce. By taking this approach, healthcare professionals will be able to dismantle the systemic patterns that impede ethical practice, do so with integrity, competence, and wholeheartedness. This is a must-read for clinicians and front line-nurses, physicians, system leaders, and policymakers, as it will require collective collaboration, aligned values, shared language, and intentional design to make our healthcare organizations and their clinicians healthy again.
Moral Respect, Objectification, and Health Care
by Meredith Celene SchwartzThis book fills an important gap in existing health care ethics literature by describing an egalitarian conception of moral respect which applies to autonomous and non-autonomous patients alike. It reframes questions about respect, from its target to the role that respect plays in our moral lives. Taking into account various forms of objectification, it suggests that the unique role of moral respect is to recognize a person as more than a mere object; to recognize them as an equally intrinsically valuable being who possesses dignity. Further, the book argues that respect is central to health care because medicine and experiences of illness are both inherently objectifying. Objectification is sometimes morally permissible, and other times morally troubling—a context of respect can help to distinguish between these situations. Because we can reduce others to mere objects in ways other than violating or denying their autonomy, the approach presented here can also accommodate non-autonomous patients directly without considering them as marginal cases.
Moral Responsibility: Beyond Free Will and Determinism (Library of Ethics and Applied Philosophy #27)
by Nicole A. Vincent, Ibo van de Poel and Jeroen HovenIt is well over a decade since John Fischer and Mark Ravizza – and before them, Jay Wallace and Daniel Dennett – defended responsibility from the threat of determinism. But defending responsibility from determinism is a potentially endless and largely negative enterprise; it can go on for as long as dissenting voices remain, and although such work strengthens the theoretical foundations of these theories, it won’t necessarily build anything on top of those foundations, nor will it move these theories into new territory or explain how to apply them to practical contexts.To this end, the papers in this volume address these more positive challenges by exploring how compatibilist responsibility theory can be extended and/or applied in a range of practical contexts. For instance, how is the narrow philosophical concept of responsibility that was defended from the threat of determinism related to the plural notions of responsibility present in everyday discourse, and how might this more fine-grained understanding of responsibility open up new vistas and challenges for compatibilist theory? What light might compatibilism shed, and what light might be shed upon it, by political debates about access to public welfare in the context of responsibility for one’s own health, and by legal debates about the impact of self-intoxication on responsibility. Does compatibilist theory, which was originally designed to cater for analysis of individual actions, scale to scenarios that involve group action and collective responsibility — e.g. for harms due to human-induced climate change? This book’s chapters deal with a range of theoretical problems discussed in classic compatibilist literature — e.g. the relationship between responsibility and capacity, the role of historical tracing in discounting the exculpatory value of incapacities, and the justifiability of retributive punishment. But instead of motivating their discussions by focusing on the alleged threat that determinism poses to responsibility, these chapters’ authors have animated their discussions by tackling important practical problems which crop up in contemporary debates about responsibility.
The Moral, Social, and Commercial Imperatives of Genetic Testing and Screening: The Australian Case (International Library of Ethics, Law, and the New Medicine #30)
by Michela BettaIn the past people were classified as being healthy or sick. With genetic testing and screening, adults might be healthy, predisposed to an illness, probably at risk, at risk, or carriers of certain risks. Genetic testing and screening hits another dramatic note when cells and embryos are tested and subsequently altered to hit targets of perfection. This insightful book combines theory and social practice, drawing on a range of disciplines and presenting contrasting viewpoints.
Moral Tribes: Emotion, Reason and the Gap Between Us and Them
by Joshua GreeneA ground-breaking and ambitious book that promotes a new understanding of morality, one that will help us to solve society's biggest problems.Our brains were designed for tribal life, for getting along with a select group of others (Us), and for fighting off everyone else (Them). But modern life has thrust the world's tribes into a shared space, creating conflicts of interest and clashes of values, along with unprecedented opportunities. As the world shrinks, the moral lines that divide us become more salient and more puzzling. We fight over everything from tax codes to gay marriage to global warming, and we wonder where, if at all, we can find our common ground.A grand synthesis of neuroscience, psychology, and philosophy, Moral Tribes reveals the underlying causes of modern conflict and lights a way forward. Our emotions make us social animals, turning Me into Us. But they also make us tribal animals, turning Us against Them. Our tribal emotions make us fight, sometimes with bombs, sometimes with words, and often with life-and-death stakes. Drawing inspiration from moral philosophy and cutting-edge science, Moral Tribes shows when we should trust our instincts, when we should reason, and how the right kind of reasoning can move us forward.Joshua Greene is the director of Harvard University's Moral Cognition Lab, a pioneering scientist, a philosopher, and an acclaimed teacher. The great challenge of Moral Tribes is this: How can we get along with Them when what they want feels so wrong? Finally, Greene offers a surprisingly simple set of maxims for navigating the modern moral terrain, a practical road map for solving problems and living better lives.