Topic: Moral Philosophy
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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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Phadke, Shilpa. Why Loiter?: Women And Risk On Mumbai Streets
2011, Penguin India.

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Added by: Anne-Marie McCallion
Publisher’s Note:

1950s Calcutta. Seventeen-year-old Shankar walks on to Old Post Office Street to become a clerk in the Calcutta High Court. There he meets the last English barrister, and thus begins their unusual and unforgettable relationship.

The Great Unknown is the moving story of the many people Shankar meets in the courtrooms and lawyers’ chambers of Old Post Office Street—some seeking justice, others watching the drama of life unfold. It offers a uniquely personal glimpse into their PBI – World of unfulfilled dreams and duplicity, of unexpected tragedy, as well as hope and exhilaration.

Here you will meet Marian Stuart, who journeys from Lebanon to PBI – India in search of a husband and happiness; the once-rich but now-destitute Englishman James Gould; Helen Grubert, the embittered Anglo-PBI – Indian typist, who wins her breach-of-promise case but has a miraculous change of heart; Nicholas Droulas, the betrayed Greek sailor desperate for revenge; Shefali Mitra, the distraught mother fighting to hold on to er she did not give birth to; Chhoka-da, the benevolent babu who takes the young clerk under his wing; and the barrister sahib who profoundly enriches Shankar’s life with his own experiences.

The Great Unknown (Kato Ajanarey), Sankar’s debut novel, first appeared in Desh in 1955. An instant success, it remains immensely popular more than fifty years after its publication. This first-ever English translation captures the simplicity and poignancy of the origi

Comment: Shilpa Phadke is a researcher, writer, and pedagogue. She is a Professor at the Tata Institute for Social Sciences and chairperson for the Centre for the Study of Contemporary Culture, School of Media and Cultural Studies. Her research interests include: gender and the politics of space, the middle classes, sexuality and the body, feminist politics among young women, reproductive subjectivities, feminist parenting, and pedagogic practices. Why Loiter presents an original take on women’s safety in the cities of twenty-first century India, it maps the exclusions and negotiations that women from different classes and communities encounter in the nation’s urban public spaces. Basing this book on more than three years of research in Mumbai, Shilpa Phadke, Sameera Khan and Shilpa Ranade argue that though women’s access to urban public space has increased, they still do not have an equal claim to public space in the city. And they raise the question: can women’s access to public space be viewed in isolation t of other marginal groups? In this chapter, Phadke explores the myth of the ‘good woman’ and how gendered virtues such as chastity and ‘respect’ function ultimately to inhibit women’s safety on urba
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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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Piper, Adrian. Rationality and the Structure of the Self, Volume I: The Humean Conception
2008, APRA Foundation Berlin.

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Added by: Chris Blake-Turner, Contributed by: Adrian M. S. Piper
Publisher's Note: The Humean conception of the self consists in the belief-desire model of motivation and the utility-maximizing model of rationality. This conception has dominated Western thought in philosophy and the social sciences ever since Hobbes' initial formulation in Leviathan and Hume's elaboration in the Treatise of Human Nature. Bentham, Freud, Ramsey, Skinner, Allais, von Neumann and Morgenstern and others have added further refinements that have brought it to a high degree of formal sophistication. Late twentieth century moral philosophers such as Rawls, Brandt, Frankfurt, Nagel and Williams have taken it for granted, and have made use of it to supply metaethical foundations for a wide variety of normative moral theories. But the Humean conception of the self also leads to seemingly insoluble problems about moral motivation, rational final ends, and moral justification. Can it be made to work?
Comment: This is a stub entry. Please add your comments below to help us expand it
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Pitkin, Hanna. Obligation and Consent – I
1965, The American Political Science Review 59, December: 990-999.

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Added by: Carl Fox
Introduction: One might suppose that if political theorists are by now clear about anything at all, they should be clear about the problem of political obligation and the solution to it most commonly offered, the doctrine of consent. The greatest modern political theorists took up this problem and formulated this answer. The resulting theories are deeply imbedded in our American political tradition; as a consequence we are al- ready taught a sort of rudimentary consent theory in high school. And yet I want to suggest that we are not even now clear on what "the problem of political obligation" is, what sorts of "answers" are appropriate to it, what the con- sent answer really says, or whether it is a satis- factory answer. This essay is designed to point up the extent of our confusion, to explore some of the ground anew as best it can, and to invite further effort by others. That such effort is worthwhile, that such political theory is still worth considering and that it can be made genuinely relevant to our world, are the assump- tions on which this essay rests and the larger message it is meant to convey
Comment: Still a good introduction to the topic of political obligation and does a nice job of distinguishing some of the main questions within that topic. Very thorough discussion of Locke. The third section on Tussman is a bit dated, but does discuss some of the issues surrounding political obligation and children and adults who are not fully competent.
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Pitkin, Hanna. Obligation and Consent – II
1966, The American Political Science Review 60, March: 39-52.

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Added by: Carl Fox
Introduction: [The doctrine of "hypothetical consent"] teaches that your obligation depends not on any actual act of consenting, past or present, by yourself or your fellow-citizens, but on the character of the government. If it is a good, just government doing what a government should, then you must obey it; if it is a tyrannical, unjust government trying to do what no government may, then you have no such obligation. Or to put it another way, your obligation depends not on whether you have consented but on whether the government is such that you ought to consent to it, whether its actions are in accord with the authority a hypothetical group of rational men in a hypothetical state of nature would have (had) to give to any government they were founding. Having shown how this formulation emerges from Locke's and Tussman's ideas, I want now to defend it as a valid response to what troubles us about political obligation, and as a response more consonant than most with the moral realities of human decisions about obedience and resistance. At the same time the discussion should also demonstrate how many different or even conflicting things that one might want to call "consent" continue to be relevant - a fact which may help to explain the tenacity of traditional consent theory in the face of its manifest difficulties. Such a defense and demonstration, with detailed attention to such decisions, are difficult; the discussion from here on will be more speculative, and will raise more questions than it answers.
Comment: Largely superseded by later work (see, for instance, Stark's 'Hypothetical Consent and Justification'), but still an interesting exploration of hypothetical consent and legitimate authority, as well as offering further critique of actual consent theories of political obligation. Would make for good further reading or an option for anyone attracted to more of a history of philosophy approach.
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Powys Whyte, Kyle, Cuomo, Chris. Ethics of Caring in Environmental Ethics: Indigenous and Feminist Philosophies
2016, In The Oxford Handbok of Environmental Ethics, Stephen Gardiner and Allen Thompson (eds.), OUP

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Added by: Sonja Dobroski and Quentin Pharr
Abstract:
Indigenous ethics and feminist care ethics offer a range of related ideas and tools for environmental ethics. These ethics delve into deep connections and moral commitments between nonhumans and humans to guide ethical forms of environmental decision making and environmental science. Indigenous and feminist movements such as the Mother Earth Water Walk and the Green Belt Movement are ongoing examples of the effectiveness of on-the-ground environmental care ethics. Indigenous ethics highlight attentive caring for the intertwined needs of humans and nonhumans within interdependent communities. Feminist environmental care ethics emphasize the importance of empowering communities to care for themselves and the social and ecological communities in which their lives and interests are interwoven. The gendered, feminist, historical, and anticolonial dimensions of care ethics, indigenous ethics, and other related approaches provide rich ground for rethinking and reclaiming the nature and depth of diverse relationships as the fabric of social and ecological being.
Comment: available in this Blueprint
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Preston-Roedder, Ryan. Faith in Humanity
2013, Philosophy and Phenomenological Research 87(3): 664-687.

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Added by: Simon Fokt
Abstract:
Abstract: History and literature provide striking examples of people who are morally admirable, in part, because of their profound faith in people’s decency. But moral philosophers have largely ignored this trait, and I suspect that many philosophers would view such faith with suspicion, dismissing it as a form of naïvete or as some other objectionable form of irrationality. I argue that such suspicion is misplaced, and that having a certain kind of faith in people’s decency, which I call faith in humanity, is a centrally important moral virtue. In order to make this view intuitively more plausible, I discuss two moral exemplars – one historical and the other literary – whose lives vividly exhibit such faith. Then I provide a rationale for the view that having such faith is morally admirable. Finally, I discuss cases in which someone’s faith in humanity can lead her to make judgments that are, to some degree, epistemically irrational. I argue that the existence of such cases does not pose a serious objection to the view that having faith in humanity is a moral virtue. Rather, it makes salient important limits on the role that epistemic, as opposed to practical, rationality should occupy in our ideals of how to live.
Comment: This is a stub entry. Please add your comments below to help us expand it
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Priest, Maura. Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm
2019, The American Journal of Bioethics. 19 (2): 45-59.

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Added by: Chris Blake-Turner
Abstract:
In this article, I argue that (1) transgender adolescents should have the legal right to access puberty-blocking treatment (PBT) without parental approval, and (2) the state has a role to play in publicizing information about gender dysphoria. Not only are transgender children harmed psychologically and physically via lack of access to PBT, but PBT is the established standard of care. Given that we generally think that parental authority should not go so far as to (1) severally and permanently harm a child and (2) prevent a child from access to standard physical care, then it follows that parental authority should not encompass denying gender-dysphoric children access to PBT. Moreover, transgender children without supportive parents cannot be helped without access to health care clinics and counseling to facilitate the transition. Hence there is an additional duty of the state to help facilitate sharing this information with vulnerable teens.
Comment (from this Blueprint): Priest argues that the state should provide puberty-blocking treatment (PBT) for trans youth, even if their parents are not supportive. Priest’s argument is important partly because it avoids the issue of whether adolescents and children can give properly informed consent. This is a point that some of Priest’s critics seem to have missed (see, for example, Laidlaw et al. 2019. “The Right to Best Care for Children Does Not Include the Right to Medical Transition”, and Harris et al. 2019. “Decision Making and the Long-Term Impact of Puberty Blockade in Transgender Children”). Priest’s conclusion is founded instead on a principle of harm avoidance.
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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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