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Ethical Response (ethical + response)
Selected AbstractsOVERCOMING BARRIERS TO PAIN RELIEF IN THE CARIBBEANDEVELOPING WORLD BIOETHICS, Issue 3 2009CHERYL MACPHERSON ABSTRACT This paper examines pain and pain relief in the Caribbean, where pain is widely perceived as an unavoidable part of life, and where unnecessary suffering results from untreated and under treated pain. Barriers to pain relief in the Caribbean include patient and family attitudes, inadequate knowledge among health professionals and unduly restrictive regulations on the medical use of opioids. Similar barriers exist all over the world. This paper urges medical, nursing and public health professionals, and educators to examine attitudes towards pain and pain relief and to work towards making effective pain relief and palliation more accessible. It recommends that i) health professionals and officials be better educated about pain, palliation and opioids, ii) regulatory restrictions be updated in light of clinical and scientific evidence, iii) opioid procurement policies be adjusted to facilitate increased medical use, iv) medical charts and records be modified to routinely elicit and document patients levels of pain, and v) educational campaigns be developed to inform the public that moderate and severe pain can be safely relieved at the end of life and other stages of life. The professional, respectful, and beneficent response to patients in pain is to provide rapid and aggressive pain relief or to urgently consult a pain or palliative specialist. When a health system hinders such efforts the ethical response is to identify, facilitate and advocate for overcoming barriers to improvement. [source] SUCCESS, TRUTH, AND MODERNISM IN HOLOCAUST HISTORIOGRAPHY: READING SAUL FRIEDLÄNDER THIRTY-FIVE YEARS AFTER THE PUBLICATION OF METAHISTORY,HISTORY AND THEORY, Issue 2 2009WULF KANSTEINER ABSTRACT This essay provides a close reading of Saul Friedländer's exceptionally successful comprehensive history of the Holocaust from the theoretical perspective of Hayden White's philosophy of history. Friedländer's The Years of Extermination has been celebrated as the first synthetic history of the "Final Solution" that acknowledges the experiences of the victims of Nazi genocide. But Friedländer has not simply added the voices of the victims to a conventional historical account of the Holocaust. Instead, by displacing linear notions of time and space and subtly deconstructing conventional concepts of causality, he has invented a new type of historical prose that performs rather than analyzes the victims' point of view. Friedländer's innovation has particularly radical consequences for the construction of historical explanations. On the one hand, Friedländer explicitly argues that anti-Semitism was the single most important cause of the Holocaust. On the other hand, his transnational, multifaceted history of the "Final Solution" provides a wealth of data that escapes the conceptual grasp of his explicit model of causation. Friedländer chooses this radically self-reflexive strategy of historical representation to impress on the reader the existential sense of disbelief with which the victims experienced Nazi persecution. To Friedländer, that sense of disbelief constitutes the most appropriate ethical response to the Holocaust. Thus the narratological analysis of The Years of Extermination reveals that the exceptional quality of the book, as well as presumably its success, is the result of an extraordinarily creative act of narrative imagination. Or, put into terms developed by White, who shares Friedländer's appreciation of modernist forms of writing, The Years of Extermination is the first modernist history of the Holocaust that captures, through literary figuration, an important and long neglected reality of the "Final Solution." [source] 9.,Human Rights: Historical Learning in the Shadow of ViolenceAMERICAN JOURNAL OF ECONOMICS AND SOCIOLOGY, Issue 1 2009Article first published online: 18 FEB 200, Richard T. Peterson This paper emphasizes the historical dimension of human rights understood as a social ethic. Rather than timeless principles, human rights and the universality proper to them emerge in a process of suffering, conflict, political assertion, and institutional change. We can understand them as historical yet also universal by seeing that human rights arise in processes of social learning that take place in an increasingly globalized world. Such learning often has advanced in the face of dramatic violence, for example, the bombing of Hiroshima. But the demands on a global social ethic today are not only a matter of responding to threats and acts of dramatic violence in isolation. Attention to the example of Hiroshima suggests that the problem of violence is bound up with other questions about the regulation of emerging technical powers in a context of inequality and social conflict. To what extent can an ethic centered on human rights provide an ethics that can inform effective responses to these problems? To consider the promise of human rights, we look more closely at the kind of social learning they involve and explore in particular the role of social movements in forging new identities and reciprocities along with normative claims proper to a global public sphere (the anti-apartheid movement provides an example). We go on to see that these political experiences can inform interpretations of historical experience that can inform a widened sense of historical possibilities, both those missed in the past and those that confront us today. While this argument may thicken our sense of the promise of a human rights ethic, it remains speculative, not least because of the limited effectiveness of these norms in practice today. We close with the suggestion that nonetheless a coherent ethical response is possible, one that in the wealthy parts of the globe might take the form of an ethic of democratic responsibility. This would both represent a distinctive kind of learning and perhaps contribute to a wider advance of human rights. [source] Elsewhere and Otherwise: Lévinasian Eros and Ethics in Le Clézio's La quarantaineORBIS LITERARUM, Issue 4 2001Karen D. Levy Beginning in the 1930s, Emmanuel Lévinas called into question the totalizing priorities of the Western metaphysical tradition and developed a dramatically original description of how subjectivity is constructed in the context of what he terms a face to face encounter with an absolute Other. This destabilizing experience is presented in terms of a summons that demands an ethical response in the form of unqualified moral responsibility for the well being of the Other, without any expectation of reciprocity. In a series of profoundly challenging works, Lévinas analyzes the different stages in the development of this relationship, expressed in masculine oriented terms, and he contrasts the nobility and generosity of ethics with the intimacy of eros and the welcome of the feminine in a protected domestic site. Lévinas insists on the impossibility of fusion and possession in both the ethical and the erotic relationships and seeks to disengage his discourse from essentialist, gender based interpretations. Nevertheless, he privileges terms associated with masculine subjects and likewise seems to endorse stereotypical interpretations of the feminine as fragile and frail, inviting either pity or tenderness. The fact that eros is based on an equivocation between need and the desire for something absolutely Other, which does not depend on any lack, prevents it from attaining the same stature as ethics. And by leaving the feminine out of his discussion of ethics, Lévinas at least downplays the possibility for feminine subjects to respond to the summons of the face to face encounter and accept the risk of living other than in the metaphysical dwelling of Being. The questions raised in Lévinas' works concerning eros, ethics, and the feminine assume different configurations and lead elsewhere when explored in proximity to J.M.G. Le Clézio's emblematic saga La quarantaine. Similar in many ways to Lévinas' philosophical trajectory, Le Clézio's literary undertaking details the disjointed stages of a journey from the self-contained solitude of Being to an exposed elsewhere in what Lévinas calls the "au-delà de l'être." The multi-layered text of La quarantaine fictionalizes the crisis that caused Le Clézio's great-uncle to be erased from family history and depicts the transgenerational effects of that disappearance. The originality of Le Clézio's work stems from the double inscription of the alterity of both eros and ethics in an Other who is gendered female. His text explores the process of rupture and exposure that Lévinas valorizes, but it does so in a way that reveals how a female subject, who both welcomes discreetly and imposes herself indiscreetly, challenges what Lévinas calls the "égoïté tragique" of the other protagonists. Le Clézio's arrestingly beautiful prose serves as a kind of textual face that expresses concretely the complexity of Lévinas' preoccupations and summons us as readers to exceed our capacities and live otherwise. [source] Snake Oil, Ethics, and the First Amendment: What's a Profession to Do?AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2002Sheila Suess Kennedy JD This article considers the appropriate legal and ethical response to those whose advocacy of "alternative" or unvalidated therapies places people at risk of harm. What are our professional responsibilities with respect to such advocacy, and what sorts of harm will justify government intervention? [source] Latent Ghosts and the Manifesto: Baya, Breton and reading for the futureART HISTORY, Issue 2 2003Ranjana Khanna Framing this article is an interest in post-colonial theory's impact on art history, and the ethical demands it has placed on that history. It explores the ways in which post-colonial studies have situated the development of disciplines in terms of their complicity with nationalist and colonialist agendas. Post-colonial theory's political intervention into art history also raises the question of the ethical limits of partisan reading and foregrounds an ethics of looking. The essay considers Surrealism and its manifesto, reading for its latent ghosts. It discusses André Breton's relation to three women: Hélène Smith, Nadja and the artist Baya Mahieddine. A responsibility to the work of this haunting figure involves an understanding of French colonial contexts, and an ethical response to this over-scripted and over-determined painter, who tends to disappear from view as her signature is tied to the art-historical terms of naivety and primitivism, the colonialist terms of Arabian mysteriousness and childishness, the psychoanalytic terms of primitive mentality, and post-independence nationalist terms of nativist representation. The demands made by Baya's paintings argue for an understanding of her as haunting yet material , a Surrealist conundrum. [source] Whose life is it anyway?INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 4 2008An exploration of five contemporary ethical issues that pertain to the psychiatric nursing care of the person who is suicidal: Part one ABSTRACT:, It is self-evident that ethical issues are important topics for consideration for those involved in the care of the person who is suicidal. Nevertheless, despite the obvious relationship between Mental Health nurses and care of the person who is suicidal, such nurses have hitherto been mostly silent on these matters. As a result, this two-part paper focuses on a number of contemporary issues which might help inform the ethical discourse and resultant Mental Health nursing care of the person who is suicidal. Part one of this paper focuses on the issues: Whose life is it anyway? Harming of our bodies and the inconsistency in ethical responses and, Is suicide ever a reasonable thing to do? The authors find that this contemporary view within the suicidology academe and the corresponding legal position in most western (developed) countries is that the individual owns his/her own body. Yet given that contemporary mental healthcare policy and associated practice positions do not reflect view, this can easily lead to the scenario where a Mental Health nurse is faced with a major ethical dilemma, and the corresponding probability of moral distress. The authors also find that it is inaccurate to posit a simple positive correlation between the potential seriousness and/or extent of bodily harm and the degree of paternalistic removal of an individual's rights to personal body ownership. Lastly, the authors find that the relevant theoretical and ethical literature in this area suggests, at least for some and under certain conditions, suicide can be the right thing to do. [source] Ethical Attitudes in Small Businesses and Large Corporations: Theory and Empirical Findings from a Tracking Study Spanning Three DecadesJOURNAL OF SMALL BUSINESS MANAGEMENT, Issue 2 2006Justin G. Longenecker This study offers a theoretical framework of ethical behavior and a comparative analysis of ethical perceptions of managers of large, mostly publicly traded corporations (those with 1,000 or more employees) and the owners and managers of smaller companies (those with fewer than 100 employees) across 17 years. The primary research provides basic data on the changing standards of ethics as perceived by leaders of large and small businesses where the cultures frequently fall into sharp contrast. Our findings reveal the extent to which the message of business integrity is gaining or losing ground within large and small companies. It does this by means of respondents' judgments of acceptable responses to 16 scenarios profiling common business situations with questionable ethical dimensions. Based on responses from over 5,000 managers and employees (from firms of all sizes) to our scenarios at three points in time (1985, 1993, 2001), we tested two research questions. First, for firms of all sizes, have business ethics improved or declined between the years 1985 and 2001? Second, comparing responses of large and small firm executives across the 1985,2001 time frame, is there a discernible difference in their ethical standards? Our results suggest that business leaders are making somewhat more ethical decisions in recent years. We also found that small business owner,managers offered less ethical responses to scenarios in 1993 but that no significant differences existed with large firm managers in 1985 and 2001. Implications of our findings are discussed. [source] |