Wilson, Yolonda, et al.. Intersectionality in Clinical Medicine: The Need for a Conceptual Framework
2019, The American Journal of Bioethics. 19(2): 8–19.
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Added by: Chris Blake-TurnerAbstract:
Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient–clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.Comment (from this Blueprint): Wilson et al. argue that intersectionality is an important concept in clinical practice. They clarify the concept and distinguish their call for intersectionality from nearby claims. For instance, they argue that intersectionality goes beyond mere cultural competence that healthcare providers are already trained in, at least to some degree. Their paper is anchored around two fictionalized case studies, which they use to make vivid and explain their central claims. They end by responding to objections, including the very idea of intersectionality itself.Womack, Katherine, Mulvaney-Day, Norah. Feminist Bioethics Meets Experimental Philosophy: Embracing the Qualitative and Experiential2012, International Journal of Feminist Approaches to Bioethics, 5 (1): 113-132-
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Added by: Tomasz Zyglewicz, Shannon Brick, Michael GreerAbstract:
Experimental philosophers advocate expansion of philosophical methods to include empirical investigation into the concepts used by ordinary people in reasoning and action. We propose also including methods of qualitative social science, which we argue serve both moral and epistemic goals. Philosophical analytical tools applied to interdisciplinary research designs can provide ways to extract rich contextual information from subjects. We argue that this approach has important implications for bioethics; it provides both epistemic and moral reasons to use the experiences and perspectives of diverse populations to better identify underlying concepts as well as to develop effective interventions within particular communities.Comment (from this Blueprint): Katherine Womack and Norah Mulvaney-Day identify some shortcomings of survey experiments, which are the dominant method of x-phi. They argue, from a feminist standpoint, that x-phi would benefit from the inclusion of qualitative methods.Woollard, Fiona, Lindsey Porter. Breastfeeding and defeasible duties to benefit2017, Journal of Medical Ethics 43(8): 515-518.-
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Added by: Rie Iizuka
Abstract: For many women experiencing motherhood for the first time, the message they receive is clear: mothers who do not breastfeed ought to have good reasons not to; bottle feeding by choice is a failure of maternal duty. We argue that this pressure to breastfeed arises in part from two misconceptions about maternal duty: confusion about the scope of the duty to benefit and conflation between moral reasons and duties. While mothers have a general duty to benefit, we argue that this does not imply a duty to carry out any particular beneficent act. Therefore, the expectation that mothers should breastfeed unless they have sufficient countervailing reasons not to is morally unwarranted. Recognising the difference between reasons and duties can allow us to discuss the benefits of breastfeeding and the importance of supporting mothers who wish to breastfeed without subjecting mothers who bottle feed to guilt, blame and failure.Comment : This paper is a good and clear introduction of the debate about breastfeeding. By appealing to the difference between reasons and duties the author discusses the benefits of breastfeeding and the importance of supporting mothers who wish to breastfeed. This paper is a good and clear introduction of the debate about breastfeeding. By appealing to the difference between reasons and duties the author discusses the benefits of breastfeeding and the importance of supporting mothers who wish to breastfeed.Woollard, Fiona. Doing and Allowing Harm2015, Oxford University Press-
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Added by: Simon Fokt, Contributed by: Lizzy Ventham
Abstract: Fiona Woollard presents an original defence of the Doctrine of Doing and Allowing, according to which doing harm seems much harder to justify than merely allowing harm. She argues that the Doctrine is best understood as a principle that protects us from harmful imposition, and offers a moderate account of our obligations to offer aid to others.Comment : This book gives a great overview to the debate about the difference between doing and allowing harm, as well as advancing its own view. I recommend it as further reading on courses in a number of topics, including any that cover non-consequentialism and those that cover certain applied ethical topics. Woollard also co-authors the stanford encyclopedia entry on the same topic, which I also include in my reading lists.Yearby, Ruqaiijah. Race Based Medicine, Colorblind Disease: How Racism in Medicine Harms Us All2021, The American Journal of Bioethics. 21(2): 19–27.-
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Added by: Chris Blake-TurnerAbstract:
The genome between socially constructed racial groups is 99.5%-99.9% identical; the 0.1%-0.5% variation between any two unrelated individuals is greatest between individuals in the same racial group; and there are no identifiable racial genomic clusters. Nevertheless, race continues to be used as a biological reality in health disparities research, medical guidelines, and standards of care reinforcing the notion that racial and ethnic minorities are inferior, while ignoring the health problems of Whites. This article discusses how the continued misuse of race in medicine and the identification of Whites as the control group, which reinforces this racial hierarchy, are examples of racism in medicine that harm all us. To address this problem, race should only be used as a factor in medicine when explicitly connected to racism or to fulfill diversity and inclusion efforts.Comment (from this Blueprint): Yearby argues that appeals to racial categories—social, but especially biological—in medicine harm people from all races, including those from dominant racial groups, like Whites. Yearby first gives evidence for the claim that there is no biological reality to race. She then argues that the continued use of racial categorization in medicine—for instance, as a basis for different standards of care—leads to worse outcomes for all. For example, because Whites are often the de facto standard group in healthcare, their worse health outcomes are sometimes overlooked. Yearby ends by making suggestions for improving the categorization of people in healthcare.Yeoman, Ruth. Conceptualising Meaningful Work as a Fundamental Human Need2014, Journal of Business Ethics 125 (2):1-17.-
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Added by: Deryn Mair ThomasAbstract:
In liberal political theory, meaningful work is conceptualised as a preference in the market. Although this strategy avoids transgressing liberal neutrality, the subsequent constraint upon state intervention aimed at promoting the social and economic conditions for widespread meaningful work is normatively unsatisfactory. Instead, meaningful work can be understood to be a fundamental human need, which all persons require in order to satisfy their inescapable interests in freedom, autonomy, and dignity. To overcome the inadequate treatment of meaningful work by liberal political theory, I situate the good of meaningful work within a liberal perfectionist framework, from which standpoint I develop a normative justification for making meaningful work the object of political action. To understand the content of meaningful work, I make use of Susan Wolf’s distinct value of meaningfulness, in which she brings together the dimensions of objectivity and subjectivity into the ‘bipartite value’ of meaningfulness (BVM) (Wolf, Meaning in life and why it matters, 2010). However, in order to be able to incorporate the BVM into our lives, we must become valuers, that is, co-creators of values and meanings. This demands that we acquire the relevant capabilities and status as co-authorities in the realm of value. I conclude that meaningful work is of first importance because it is a fundamental human need, and that society ought to be arranged to allow as many people as possible to experience their work as meaningful through the development of the relevant capabilities.
Comment : This paper presents a novel argument for meaningful work as a fundamental human need. Although the argument is complex and multi-layered, it is clearly written and well-structured, and therefore may be accessible for a range of difficulty levels. Overall, the paper would be useful in any course or syllabus interested in the future of work, basic human needs, or meaningfulness in life. Sections of the argument, such as Yeoman's application of Wolf's analysis of 'meaningfulness' to the activity of work, could be used for more entry-level social and political philosophy, especially in general courses examining philosophical conceptions of the good life and what makes life worth living.Young, Iris Marion. Responsibility and Global Justice: A Social Connection Model2006, Social Philosophy and Policy 23 (1): 102-130.-
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Added by: Rochelle DuFord
Abstract: The essay theorizes the responsibilities moral agents may be said to have in relation to global structural social processes that have unjust consequences. How ought moral agents, whether individual or institutional, conceptualize their responsibilities in relation to global injustice? I propose a model of responsibility from social connection as an interpretation of obligations of justice arising from structural social processes. I use the example of justice in transnational processes of production, distribution and marketing of clothing to illustrate operations of structural social processes that extend widely across regions of the world. The social connection model of responsibility says that all agents who contribute by their actions to the structural processes that produce injustice have responsibilities to work to remedy these injustices. I distinguish this model from a more standard model of responsibility, which I call a liability model. I specify five features of the social connection model of responsibility that distinguish it from the liability model: it does not isolate perpetrators; it judges background conditions of action; it is more forward looking than backward looking; its responsibility is essentially shared; and it can be discharged only through collective action. The final section of the essay begins to articulate parameters of reasoning that agents can use for thinking about their own action in relation to structural injusticeComment : This text responds to theories of individual responsibility for global distributive justice proposed by John Rawls, David Miller, and Onora O'Neill. It would work well as a response to them, but also contains overviews of their positions (i.e. it isn't strictly necessary to be familiar with their body of work). The text contains illustrative examples of understanding collective responsibilities for injustice, such as goods produced in sweatshops. The text would work well in a course that covered distributive justice, social responsibility, or global justice.Zagzebski, Linda Trinkaus. Ethical and epistemic egoism and the ideal of autonomy2007, Episteme 4 (3):252-263.-
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Added by: Chris Blake-Turner, Contributed by: Wayne Riggs
Abstract: In this paper I distinguish three degrees of epistemic egoism, each of which has an ethical analogue, and I argue that all three are incoherent. Since epistemic autonomy is frequently identified with one of these forms of epistemic egoism, it follows that epistemic autonomy as commonly understood is incoherent. I end with a brief discussion of the idea of moral autonomy and suggest that its component of epistemic autonomy in the realm of the moral is problematic.Zutlevics, T. L.. Markets and the needy: Organ sales or aid?2001,-
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Added by: Clotilde Torregrossa, Contributed by: Simon Fokt
Abstract: As organ shortages have become more accute, support for a market in organs has steadily increased. Whilst many have argued for such a market, it is Gerald Dworkin who most persuasively defends its ethics. As Dworkin points out, there are two possibilities here - a futures market and a current market. I follow Dworkin in focusing on a current market in the sale of organs from living donors, as this is generally considered to be the most difficult to justify. One of the most pressing concerns here is that such a market will exploit the poor. I outline this concern and scrutinise Dworkin's and others' rejection of it. Briefly, I argue that the arguments Dworkin employs for allowing the poor to sell their organs fail, and in fact better support an argument for increasing aid to the needy.Can’t find it?Contribute the texts you think should be here and we’ll add them soon!
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