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Peter, Elizabeth, Liaschenko, Joan. Moral Distress Reexamined: A Feminist Interpretation of Nurses’ Identities, Relationships, and Responsibilites
2013, The Journal of Bioethical Inquiry. 10: 337–345.
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Added by: Chris Blake-Turner
Abstract: Moral distress has been written about extensively in nursing and other fields. Often, however, it has not been used with much theoretical depth. This paper focuses on theorizing moral distress using feminist ethics, particularly the work of Margaret Urban Walker and Hilde Lindemann. Incorporating empirical findings, we argue that moral distress is the response to constraints experienced by nurses to their moral identities, responsibilities, and relationships. We recommend that health professionals get assistance in accounting for and communicating their values and responsibilities in situations of moral distress. We also discuss the importance of nurses creating “counterstories” of their work as knowledgeable and trustworthy professionals to repair their damaged moral identities, and, finally, we recommend that efforts toward shifting the goal of health care away from the prolongation of life at all costs to the relief of suffering to diminish the moral distress that is a common response to aggressive care at end-of-life.

Comment (from this Blueprint): Moral distress is, roughly, when a healthcare worker is institutionally constrained to act against their best moral judgement. A typical example is a nurse being prevented from giving care they deem morally required because they are hierarchically constrained by the orders of a physician. Moral distress has been much discussed in nursing ethics, but is almost entirely absent from broader bioethics syllabi and conversations. This paper examines moral distress through a lens of feminist care ethics. In doing so, it draws lessons that apply very broadly throughout professional ethics.

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Pineau, Lois. Date Rape: A Feminist Analysis
1989, Law and Philosophy 8 (2): 217-243.
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Added by: Rochelle DuFord
Abstract: This paper shows how the mythology surrounding rape enters into a criterion of reasonableness which operates through the legal system to make women vulnerable to unscrupulous victimization. It explores the possibility for changes in legal procedures and presumptions that would better serve women's interests and leave them less vulnerable to sexual violence. This requires that we reformulate the criterion of consent in terms of what is reasonable from a woman's point of view.

Comment: This text provides an overview of the the legal status of "date rape" in the US. It would fit well in a class covering the idea of mens rea and/or actus reus - such as a class on philosophy of law. It would also be of use in a class covering the concept of consent, rape and sexual violence, or the meaning of being 'reasonable.'

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Purdy, Laura. Are Pregnant Women Fetal Containers?
1990, Bioethics 4(4): 273–291.
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Added by: Carl Fox
Content: Purdy offers a strong argument against overriding the decisions of pregnant women and tries to reconcile the significance of the dependence of the fetus on the mother with the mother's right to control her own body.

Comment: Very useful as introductory or further reading on reproductive rights and/or abortion.

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Purdy, Laura M.. Reproducing Persons: Issues in Feminist Bioethics
1996, Cornell University Press.
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Added by: Clotilde Torregrossa, Contributed by: Simon Fokt
Publisher's Note: Controversies about abortion and women's reproductive technologies often seem to reflect personal experience, religious commitment, or emotional response. Laura M. Purdy believes, however, that coherent ethical principles are implicit in these controversies and that feminist bioethics can help clarify the conflicts of interest which often figure in human reproduction. As she defines the underlying issues, Purdy emphasizes the importance of taking women's interests fully into account. Reproducing Persons first explores the rights and duties connected with conception and pregnancy. Purdy asks whether conceiving a child or taking a pregnancy to term can ever be morally wrong. She challenges the thinking of those who feel the prospect of disability or serious genetic disease should not constrain conception or justify abortion. The essays next look at abortion from a variety of angles. One contends that killing fetuses is not murder; others emphasize the moral importance of access to abortion. Purdy considers the conflicting interests of women and men regarding abortion, and argues against requiring a husband's consent. The book concludes with a consideration of new reproductive technologies and arrangements, including the controversial issue of surrogacy, or contract pregnancy. Throughout, Purdy combines traditional utilitarianism with some of the most powerful insights of contemporary feminist ethics. Her provocative essays create guidelines for approaching new topics and inspire fresh thinking about old ones.

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Reader, Soran. Abortion, Killing, and Maternal Moral Authority
2008, Hypatia 23 (1):132-149
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Added by: Deryn Mair Thomas
Abstract:

A threat to women is obscured when we treat “abortion-as-evacuation” as equivalent to “abortion-as-killing.” This holds only if evacuating a fetus kills it. As technology advances, the equivalence will fail. Any feminist account of abortion that relies on the equivalence leaves moral room for women to be required to give up their fetuses to others when it fails. So an account of the justification of abortion-as-killing is needed that does not depend on the equivalence.

Comment: This text explores a common justification for the permissability of abortion, which the author describes as an equivalence between "abortion-as-killing" and "abortion-as-evacuation". The author also examines a series of dilemmas which arise from traditional pro-choice discussions of abortion (at least at the time of writing), such the two-horned dilemma which appears to trap pro-choice advocates in only two camps: one in which the fetus is morally signficant (and therefore can only be aborted, but not killed), and another in which the fetus is morally negligible (in which case, it does not matter). Reader challenges this dichotomy and aims to show that fetal killing can be justified without claiming that fetuses are negligible by focusing on relationship, in general, and motherhood, in particular. Therefore, the text would be most useful as a primary or supplemental reading in an intermediate or advanced course studying contemporary analytic debates on abortion or feminist thought and critical gender studies.

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Robinson, Jenefer, Ross, Stephanie. Women, Morality, and Fiction
1990, Hypatia 5 (2):76-90.
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Added by: Chris Blake-Turner, Contributed by: Christy Mag Uidhir
Abstract: We apply Carol Gilligan's distinction between a "male" mode of moral reasoning, focussed on justice, and a "female" mode, focussed on caring, to the reading of literature. Martha Nussbaum suggests that certain novels are works of moral philosophy. We argue that what Nussbaum sees as the special ethical contribution of such novels is in fact training in the stereotypically female mode of moral concern. We show this kind of training is appropriate to all readers of these novels, not just to women. Finally, we explore what else is involved in distinctively feminist readings of traditional novels

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Ruether, Rosemary R.. Symbolic and Social Connections of the Oppression of Women and the Domination of Nature
1999, in Adams, C. J. (eds), Ecofeminism and the sacred, New York: Continuum.
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Added by: Simon Fokt
Abstract:

Comment: This text offers an introduction to ecofeminism. It discusses the history of associating maleness with culture and femaleness with nature and identifies some of the issues which led to the current ecological crisis. The text has the potential to challenge received views and inspire a lively discussion, and as such it is best used as an introductory text in classes on environmental ethics and on feminist ethics.

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Satz, Debra. Markets in Women’s Sexual Labor
1995, Ethics 106(1): 63-85.
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Added by: Rochelle DuFord
Summary: This paper argues that prostitution and other markets in women's sexual labor are not necessarily morally wrong. Satz argues that such markets are morally wrong to the extent that they reinforce the vast social inequalities between men and women. Satz discusses a number of approaches to understanding the wrongness of markets in women's sexual labor, including an economic approach, an essentialist approach, and an egalitarian approach. Ultimately, she critiques the economic and essentialist approach as insufficient, favoring the egalitarian approach. Lastly, Satz discusses the question of decriminalization, arguing in favor of legislation concerning markets in women's sexual labor only to the extent that those laws promote gender equality.

Comment: This text serves as an excellent introdution to debates concerning the morality of prostitution. It presents an overview of a number of tactics used to understand the wrongness of prostituion and provides an introduction to the legislative considerations of markets in women's sexual labor.

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Seavilleklein, Victoria. Challenging the Rhetoric of Choice in Prenatal Screening
2009, Bioethics 23(1): 68-77.
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Added by: Simon Fokt
Abstract: Prenatal screening, consisting of maternal serum screening and nuchal translucency screening, is on the verge of expansion, both by being offered to more pregnant women and by screening for more conditions. The Society of Obstetricians and Gynaecologists of Canada and the American College of Obstetricians and Gynecologists have each recently recommended that screening be extended to all pregnant women regardless of age, disease history, or risk status. This screening is commonly justified by appeal to the value of autonomy, or women's choice. In this paper, I critically examine the value of autonomy in the context of prenatal screening to determine whether it justifies the routine offer of screening and the expansion of screening services. I argue that in the vast majority of cases the option of prenatal screening does not promote or protect women's autonomy. Both a narrow conception of choice as informed consent and a broad conception of choice as relational reveal difficulties in achieving adequate standards of free informed choice. While there are reasons to worry that women's autonomy is not being protected or promoted within the limited scope of current practice, we should hesitate before normalizing it as part of standard prenatal care for all.

Comment: The text introduces the notion of relational autonomy and argues that an increase in pre-natal screening can in fact act so as to restrict the autonomy of pregnant women. It is best used in teaching applied ethics modules on procreation and autonomy, and as a further reading offering a critique of approaches which do not take into account contextual features of particular situations in their moral assessment.

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Sherwin, Susan. No Longer Patient: Feminist Ethics and Health Care
1992, Temple University Press.
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Added by: Clotilde Torregrossa, Contributed by: Simon Fokt
Introduction: This book attempts to deepen common understandings of what considerations are relevant in discussions of bioethics. It is meant to offer a clearer picture of what morally acceptable health care might look like. I argue that a feminist understanding of the social realities of our world is necessary if we are to recognize and develop an adequate analysis of the ethical issues that arise in the context of health care.

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Srinivasan, Amia. Feminism and Metaethics
2016, in Mcpherson, Tristram and Plunkett, David (eds.), Routledge Handbook of Metaethics, Routledge 2016
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Added by: Giada Fratantonio
Abstract: Feminism is first and foremost a political project: a project aimed at the liberation of women and the destruction of patriarchy. This project does not have a particular metaethics; there is no feminist consensus, for example, on the epistemology of moral belief or the metaphysics of moral truth. But the work of feminist philosophers - that is, philosophers who identify with the political project of feminism, and moreover see that political project as informing their philosophical work - raises significant metaethical questions: about the need to rehabilitate traditional moral philosophy, about the extent to which political and moral considerations can play a role in philosophical theorizing, and about the importance of rival metaethical conceptions for first-order political practice. I discuss some of the contributions that feminist philosophy makes to each of these questions in turn. I hope to call attention to the way in which feminist thought bears on traditional topics in metaethics (particularly moral epistemology and ethical methodology) but also to how feminist thought might inform metaethical practice itself.

Comment: The author discusses some contributions that feminist philosophy can make to some questions on metaethics. Can be used for a course on feminism.

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Suchon, Gabrielle. A Woman Who Defends All the Persons of Her Sex: Selected Philosophical and Moral Writings
2010, University of Chicago Press.
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Added by: Francesca Bruno
Publisher's Note: During the oppressive reign of Louis XIV, Gabrielle Suchon (1632-1703) was the most forceful female voice in France, advocating women's freedom and self-determination, access to knowledge, and assertion of authority. This volume collects Suchon's writing from two works - Treatise on Ethics and Politics (1693) and On the Celibate Life Freely Chosen; or, Life without Commitments (1700) - and demonstrates her to be an original philosophical and moral thinker and writer. Suchon argues that both women and men have inherently similar intellectual, corporeal, and spiritual capacities, which entitle them equally to essentially human prerogatives, and she displays her breadth of knowledge as she harnesses evidence from biblical, classical, patristic, and contemporary secular sources to bolster her claim. Forgotten over the centuries, these writings have been gaining increasing attention from feminist historians, students of philosophy, and scholars of seventeenth-century French literature and culture. This translation, from Domna C. Stanton and Rebecca M. Wilkin, marks the first time these works will appear in English.

Comment: This volume could be assigned in an early modern (survey) course together with other texts by women philosophers of this time, such as Mary Astell. Suchon's prose is long-winded but clear. There are a number of tensions in the text between (some of) Suchon's ideas, which offer a good opportunity for discussion with students.

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