Moral Disability, Moral Injury, and the Flight from Vulnerability

Author(s):  
Virginia L. Warren

This chapter explores the concept of moral disability, identifying two types. The first type involves disabling conditions that distort one’s process of moral reflection. Examples include the incapacity to consider the long-term future, to feel empathy for others, and to be honest with oneself. A noteworthy example of self-deception is systematically denying one’s own—and humanity’s—vulnerability to the power of others, to accidents, and to having one’s well-being linked to that of others and the eco-system. Acknowledging vulnerability often requires a new sense of self. The second type includes incapacities directly resulting from ‘moral injury’—debilitating, self-inflicted harms when one violates a deeply held moral conviction, even if trying to remain true to another moral value. Examining moral disabilities highlights the moral importance of self-identity. More progress may be made on controversial issues if we discuss who we are, how we connect, and how we can heal.

2019 ◽  
Vol 100 (3) ◽  
pp. 575-585
Author(s):  
Mairéad Cantwell ◽  
Deirdre Walsh ◽  
Bróna Furlong ◽  
Lisa Loughney ◽  
Noel McCaffrey ◽  
...  

Abstract Background The majority of individuals living with and beyond cancer are not sufficiently active to achieve health benefits. Objective The aim of this study was to explore individuals’ experiences of physical activity (PA) behavior across the cancer journey and to ask individuals living with and beyond cancer to identify strategies to support habitual PA. Design An exploratory, descriptive, qualitative design was used. Methods Purposive sampling methods were used to recruit individuals living with and beyond cancer who had been referred to, and/or participated in, a community-based exercise program or were attending a cancer support center. The focus group discussions were audio recorded, transcribed verbatim, and analyzed using a thematic analysis approach. Results Seven focus groups were conducted with 41 participants. Many individuals reported that regular PA provided a vehicle for recovery that created a sense of “self-power,” defined as taking ownership and control of one’s health to increase well-being. Barriers to PA participation included environmental-, patient-, and treatment-related challenges. Recommendations to support long-term adherence to PA included completion of fitness assessments at regular intervals and provision of a home exercise program. Limitations The benefits and barriers to PA participation for individuals diagnosed with cancers that were not represented may not have been identified. The strategies recommended to support habitual PA may be salient only to individuals whose cancer diagnoses were represented. Conclusions Exercise is seen as a vehicle for recovery from cancer but long-term adherence for individuals is complex. The findings from this study can inform the development of exercise oncology rehabilitation programs and could support a greater likelihood of program success, thereby optimizing the health, well-being, and quality of life of survivors of cancer.


Geography ◽  
2019 ◽  
Author(s):  
Aaron Golub

Automobility is a conceptual framework developed to understand the personal, social, political, cultural, geographical, and technical systems shaping, and shaped by, the automobile. At its core, the automobility system is the hub of numerous interdependencies and relationships between the larger society and the automobile. The automobility literature synthesizes scholarship from a wide range of fields necessary to understand these diverse but interlocking systems, including history, geography, public policy, planning, behavior, psychology, anthropology, culture and communication, and economics and finance, among many others. Automobility contextualizes the role of the automobile as a powerful and central driver of complex and diverse processes, creating new materialities across space and time. Automobility describes a social arrangement where the automobile system dominates and transforms almost everything in its path—one’s personal sense of self, identity, and mobility; relationships between human beings; the boundaries of public and private; and the broader social, cultural, and political forces at larger scales. Systems affected by the automobililty system become malformed by it, each moment then favoring it even more in a vicious cycle, while rejecting or destroying those systems incompatible with it. Automobility explores a society dispersed across space and time, forcing its subjects into a particular mode of being, seemingly free, but now saddled by the various demands of the automobile. For those not able to participate, automobility excludes, as opportunities become even more inaccessible by anything other than an automobile. These forces of inclusion and exclusion exacerbate existing social processes of discrimination, such as gender, racial and class divisions, and segregation. Furthermore, automobility implicates a vast process of urbanization; land conversion for automobile-related uses; and related environmental impacts like resource consumption, pollution, and climate change across a range of scales from the local to the global, from immediate to long-term.


2021 ◽  
Vol 9 ◽  
Author(s):  
Janet E. Rennick ◽  
Alyssa M. Knox ◽  
Stephanie C. Treherne ◽  
Karen Dryden-Palmer ◽  
Robyn Stremler ◽  
...  

Introduction: PICU hospitalization can have a profound impact on child survivors and their families. There is limited research on children's long-term recovery within the context of the family following critical illness. This study aimed to explore children's and parents' perceptions of long-term psychological and behavioral responses within the context of the family one year following PICU hospitalization.Materials and Methods: Caring Intensively is a mixed methods multi-site prospective cohort study that aims to examine children's psychological and behavioral responses over a 3-year period following PICU hospitalization. In this study, part of the qualitative arm of Caring Intensively, an interpretive descriptive design was used to explore children's recovery one year post-discharge. Purposive sampling was used to select 17 families, including 16 mothers, 6 fathers, and 9 children. Semi-structured, audio-recorded interviews were conducted. Data were analyzed iteratively using the constant comparison method.Results: Families described efforts to readapt to routine life and find a new normal following PICU hospitalization. Finding a New Normal consisted of four major themes: (1) Processing PICU Reminders and Memories, (2) Changing Perceptions of Health and Illness, (3) We Are Not the Same, and (4) Altered Relationships. Participants described significant emotional and behavioral changes during the year following discharge. The psychological impact of individual family members' experiences led to changes in their sense of self, which affected family dynamics. PICU memories and reminders impacted participants' perceptions of childhood health and illness and resulted in increased vigilance. Parents and siblings demonstrated increased concern for the child survivor's health, and the experience of long absences and new or altered caregiving roles resulted in changes in relationships and family dynamics.Conclusion: PICU hospitalization impacted the psychological well-being of all family members as they sought to re-establish a sense of normalcy one year following discharge. Parent and child experiences and responses were closely interconnected. Findings highlight the importance of increased follow-up care aimed at supporting the family's psychological recovery.


Author(s):  
Martin Peterson

The aim of this chapter is to render the Sustainability Principle more precise. To what extent can it be motivated by axiological claims about the moral value of sustainability? The position articulated in this chapter is somewhat complex. If sustainability had been valuable in a noninstrumental sense, then this would have been an excellent explanation for why long-term depletion of significant natural resources is wrong. However, the best argument for ascribing noninstrumental value to the environment does not warrant the conclusion that sustainability is valuable in a noninstrumental sense. This leaves us with an alternative explanation for why we should accept the sustainability principle: Long-term depletion of significant natural, social, or economic resources is wrong because it indirectly reduces the well-being of millions of present and future sentient beings. It is thus the instrumental value of sustainability that ultimately motivates the sustainability principle.


enadakultura ◽  
2021 ◽  
Author(s):  
Maia Akhvlediani ◽  
Sophio Moralishvili

The 2030 Agenda for Sustainable Development states that considerable progress has been made towards the SDGs since 2015, though it is still slow. Conflicts, environmental, financial, health and humanitarian crises place children at risk of multiple rights violations, violence, marginalization, and discrimination. The scale of violence against children in the 21st century is incredibly high, which has been exacerbated by the Covid-19 pandemic.Verbal or emotional abuse is a form of behavior that can harm a child’s emotional development or sense of self-esteem. This form of abuse may include threats, constant criticism, rejection, as well as lack of love, guidance, support. In many cases it is rather difficult to prove an emotional abuse and accordingly, child protective services may not be able to take measures and somehow intervene without evidence of harm or mental injury to the child. Verbal abuse may have a number of different patterns, including blaming, criticism, judging, threats, insults. Accordingly, abuses like these can impact every element of life, including academic performance, relationships, success at work and later in life. Verbal abuse like any other form of bullying and insult may have both short-term and long-term consequences, including the following mental health problems: chronic stress decreased self-esteem, anxiety, depression and etc. Verbal abuse during childhood can have lifelong implications for victims, effecting their well-being and progress. Although the physical wounds may heal, there are many long-term consequences of experiencing the trauma of abuse. Maltreated and insulted children may be at risk of experiencing cognitive delays and emotional difficulties, among other issues, which can affect many aspects of their lives, including their academic outcomes and social skills development. Experiencing verbal abuse during childhood also is a risk factor for depression, anxiety, and other psychiatric disorders.Changing societal attitudes and norms is an important part of preventing violence against children, which often requires changing well-established social and cultural norms and behaviors. Especially those according to which some forms of violence are not only normal, but sometimes can be justified. A more benevolent attitude towards non-violent methods of upbringing should be developed and, most importantly, an awareness of what constitutes a violent act should be raised.


2021 ◽  
Author(s):  
Kimberley J Dalgleish

Wealth is a key feature of immigrants' successful economic integration in Canada, while more broadly contributing to their level of social inclusion and sense of self-efficacy throughout the life course. Yet, immigrant wealth has been largely ignored in the Canadian literature. Current analyses of immigrant economic integration focus primarily on labour market outcomes and growing earnings inequalities. This body of literature would be greatly enriched by strengthened understandings of immigrant savings, consumption, asset accumulation and investment. This paper thus brings together the fragmented and scarce literature related to immigrant wealth; consequently merging literatures from different fields and generating an important disucssion of the overarching issues affecting immigrant wealth in Canada. A critical review of the literature reveals that recent immigrant cohorts face increasing economic inequality compared to the Canadian born population and established immigrants, while wealth is increasingly polarized among recent immigrant groups. These trends have profound implications for the long-term economic well-being of immigrants in Canada, particularly as they reach retirement age.


Dementia ◽  
2020 ◽  
pp. 147130122092761
Author(s):  
Sarah-Louise Buggins ◽  
Christopher Clarke ◽  
Emma Wolverson

Dominant discourses surrounding dementia tend to focus on narratives of loss and decline. Simultaneously, individuals living with dementia are vulnerable to being dispossessed of personal narratives supportive of identity and well-being. How older people with dementia story their experiences of resilience in this context has not previously been investigated. In response, this qualitative study utilised a narrative approach to understand lived experiences of resilience shared by eight older people living with dementia. Structural analyses indicated that participants’ personal narratives regarding resilience in living with dementia contained distinct and common phases (The Diagnosis, Initial Tasks, 'The High Point', Reflecting on Limitations and Focusing on Today) as well as a variety of dynamic characters. Overarching themes within participants’ narratives included sense of self/identity, being connected to others, sense of agency and having positive attitudes. Participants narrated richer, more active personal stories than those typically represented in dominant social discourses surrounding dementia. As such, their narratives depict lived experiences of resilience that unfolded over time in response to adversity and uncertainty and involved a dialectical process in relation to adjustment and well-being. The findings have important implications for the way resilience in living with dementia is framed and supported.


2019 ◽  
Vol 13 (4) ◽  
pp. 362-366
Author(s):  
Cindy Geyer

Patients presenting with a desire to lose weight often have underlying factors that complicate recommendations regarding diet and exercise. In this woman’s story, a significant physical injury resulted in chronic pain and a loss in her ability to participate in activities she had previously enjoyed and which played a role in her self-identity. While her previous history of a mood disorder may have increased her risk of developing chronic pain, the impact her injury had on her sense of self was also a likely factor. A multidisciplinary approach that addressed her sense of loss; incorporated innovative adaptations that enabled her to exercise outdoors and led to a renewed sense of hope; helped her find creative outlets and increase her sense of self efficacy; and improve the quality of sleep was instrumental in supporting her ability to incorporate dietary change, lose weight, and improve her mood and well-being. The biopsychosocial model of pain provides a framework of understanding for the complex interplay between mood, pain, and social support, which in turn can impact weight and ability to incorporate lifestyle change. Addressing these underlying factors is a critical part of whole person health.


2021 ◽  
Author(s):  
Kimberley J Dalgleish

Wealth is a key feature of immigrants' successful economic integration in Canada, while more broadly contributing to their level of social inclusion and sense of self-efficacy throughout the life course. Yet, immigrant wealth has been largely ignored in the Canadian literature. Current analyses of immigrant economic integration focus primarily on labour market outcomes and growing earnings inequalities. This body of literature would be greatly enriched by strengthened understandings of immigrant savings, consumption, asset accumulation and investment. This paper thus brings together the fragmented and scarce literature related to immigrant wealth; consequently merging literatures from different fields and generating an important disucssion of the overarching issues affecting immigrant wealth in Canada. A critical review of the literature reveals that recent immigrant cohorts face increasing economic inequality compared to the Canadian born population and established immigrants, while wealth is increasingly polarized among recent immigrant groups. These trends have profound implications for the long-term economic well-being of immigrants in Canada, particularly as they reach retirement age.


2010 ◽  
Vol 19 (3) ◽  
pp. 68-74 ◽  
Author(s):  
Catherine S. Shaker

Current research on feeding outcomes after discharge from the neonatal intensive care unit (NICU) suggests a need to critically look at the early underpinnings of persistent feeding problems in extremely preterm infants. Concepts of dynamic systems theory and sensitive care-giving are used to describe the specialized needs of this fragile population related to the emergence of safe and successful feeding and swallowing. Focusing on the infant as a co-regulatory partner and embracing a framework of an infant-driven, versus volume-driven, feeding approach are highlighted as best supporting the preterm infant's developmental strivings and long-term well-being.


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