Ethical Complexity

Author(s):  
Harry Kunneman
Keyword(s):  
2021 ◽  
pp. medethics-2020-107125
Author(s):  
Rosalind J McDougall ◽  
Ben P White ◽  
Danielle Ko ◽  
Louise Keogh ◽  
Lindy Willmott

In jurisdictions where voluntary assisted dying (VAD) is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors’ involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously object to involvement in the VAD process, including provision of information about VAD. While this protection appears categorical and straightforward, conscientious objection to VAD-related care is ethically complex for junior doctors for reasons that are specific to this group of clinicians. For junior doctors wishing to exercise a conscientious objection to VAD, their dependence on their senior colleagues for career progression creates unique risks and burdens. In a context where senior colleagues are supportive of VAD, the junior doctor’s subordinate position in the medical hierarchy exposes them to potential significant harms: compromising their moral integrity by participating, or compromising their career progression by objecting. In jurisdictions intending to provide all health professionals with meaningful conscientious objection protection in relation to VAD, strong specific support for junior doctors is needed through local institutional policies and culture.


2016 ◽  
Vol 24 (2) ◽  
pp. 213-229 ◽  
Author(s):  
Jennifer Carter ◽  
Jane Palmer

To transgress is ‘to do something that is not allowed’; in a human-constructed world, animals, especially those seen as ‘incompanionate’, are often deemed to be doing something not allowed. We explore the ethical dilemmas of ‘transgression’ in the context of critical reflection on an instructive example of dingo–human relations on Fraser Island, Australia, which has incited ongoing debate from diverse publics about the killing of ‘problem’ dingoes. We outline the historical and ethical complexity of such relations and suggest that human–nonhuman encounters, direct or indirect, have the potential to produce new, less anthropocentric topologies in which transgression is reconstructed, and humans and animals can share space more equitably. The kind of knowledge and ethical re-positioning beginning to emerge in dingo–human relations suggests transgression itself as a metaphor for its further re-imagining: a disruption of spatial, emotional and ethical boundaries to shape more responsive, respectful and less anthropocentric topologies.


2020 ◽  
pp. 154-164
Author(s):  
Marielle Macé

A life cannot be dissociated from its forms (its ways, regimes, spaces, and rhythms) for these forms are also ideas of what life should be. This question is keenly felt today, especially in our ways of experiencing politics: we need ‘other sorts of life’, ‘other ways of living’, other rhythms and connections. Yet these phrases are often emptied of their meaning: they are the stock-in-trade of advertising, which allows us to dream of passing from one lifestyle to another without regard for the ethical complexity of what Pavese called ‘the business of living’. Roland Barthes helps us here. Right from his sanatorium years, and all that it cost him to become aware, so young, of the life made for us by daily routines, food, the weather, our ways of relating to others, and through to La Préparation du roman (which reflected on how everyday life must be organised to lead to a literary work), Barthes was always conscious of the seriousness of what the forms of living entail, in all their precision and detail. This chapter tracks the constancy of this conviction in Barthes’s trajectory, from the early sanatorium correspondence to Comment vivre ensemble and Journal de deuil.


Literator ◽  
2006 ◽  
Vol 27 (2) ◽  
pp. 1-20
Author(s):  
R. Goodman

This article deals with two texts written during the process of transition in South Africa, using them to explore the cultural and ethical complexity of that process. Both Njabulo Ndebele’s “The cry of Winnie Mandela” and Pumla Gobodo-Madikizela’s “A human being died that night” deal with controversial public figures, Winnie Mandela and Eugene de Kock respectively, whose role in South African history has made them part of the national iconography. Ndebele and Gobodo-Madikizela employ narrative techniques that expose and exploit faultlines in the popular representations of these figures. The two texts offer radical ways of understanding the communal and individual suffering caused by apartheid, challenging readers to respond to the past in ways that will promote healing rather than perpetuate a spirit of revenge. The part played by official histories is implicitly questioned and the role of individual stories is shown to be crucial. Forgiveness and reconciliation are seen as dependent on an awareness of the complex circumstances and the humanity of those who are labelled as offenders. This requirement applies especially to the case of “A human being died that night”, a text that insists that the overt acknowledgement of the humanity of people like Eugene de Kock is an important way of healing South African society.


2016 ◽  
Vol 27 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Nitin Mukesh ◽  
Katrina A. Bramstedt

Introduction: Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States. Research Questions: Perspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored. Design: Quantitative survey. We used a research ethics committee–approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT. Results: All surveyed hand therapists work with children (n = 18 Australia [AU], n = 85 United States) and some had been involved in adult hand transplant rehabilitation (28% AU, 21% United States; P = .543, not significant (NS)). The US and AU therapists differ regarding their opinions on multidisciplinary team membership, smoking as an exclusion criterion, and risk of posttransplant rehabilitation noncompliance. Discussion: This research opens a dialogue on the clinical and ethical complexity of PHT, including team configuration, inclusion/exclusion criteria, the assent process, and rehabilitation access/compliance. Furthermore, international perspectives are informative as they highlight funding and access issues and can potentially guide global professional society policy.


Author(s):  
Cala Coats

This chapter is a case study that traces the life of a young artist farmer who developed a community-based educational farm. The case study illuminates networked connections between small-scale farming, a revitalized interest in handmade production, and a burgeoning desire for a living ethics rooted in direct engagements. This chapter reveals the breadth of the handmade revolution, tracing a singular example to investigate the desire to become a small-scale farmer; the network of apprenticing makers, farmers, and artists; the necessary participatory aestheticization of the farm as a marketing strategy and mode of cultural consumption; and the ethical complexity of sustaining the life of a young farmer in the current organic and locally-grown marketplace.


Author(s):  
Hanna Meretoja

Chapter 3 explores the ethical implications of the hermeneutic approach to narrative. It proposes a framework for analyzing and evaluating narrative practices from an ethical perspective by differentiating between six aspects of their ethical potential. (1) It argues that the power of narratives to cultivate and expand one’s sense of the possible is ethically crucial. In relation to this key point, it suggests that narratives can (2) contribute to personal and cultural self-understanding; (3) provide an ethical mode of understanding other lives and experiences “non-subsumptively” in their singularity; (4) create, challenge, and transform narrative in-betweens; (5) develop one’s perspective-awareness and capacity for perspective-taking; and (6) function as a mode of ethical inquiry. The chapter develops a non-subsumptive model of narrative understanding and shows how the hermeneutic approach allows one to go beyond the dichotomous question of whether narratives are good or bad, toward appreciating their ethical complexity.


2014 ◽  
Vol 1 (1) ◽  
pp. 79
Author(s):  
Julia C. Gluesing

Economic integration and globalization has brought increasing ethical complexity into business anthropology as more anthropologists work in or research multinational enterprises that cross multiple boundaries. Ethical challenges arise from the predominant neoliberal viewpoint in these enterprises, the embeddedness of ethics in culture, and from intercultural nature of multi-stakeholder environments. Using an example of one research project in an MNE, this article illustrates the ethical challenges of the MNE work context and how these challenges can be resolved and discusses current ethical dilemmas and the future implications for the growth and practice of business and organizational anthropology.


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