Ethics as Design and Its Two Distinctive Methods

2018 ◽  
pp. 139-168
Author(s):  
Barry Hoffmaster ◽  
Cliff Hooker

The new conception of rationality as non-formal reason is completed by an explanation of how design in engineering can be brought to the design of practical problems in ethics, from which the notion of ethics as design for flourishing is developed. The conventional notions of balancing and specification in applied ethics are rejected and replaced by two methods that use non-formal reason: fully engaged moral compromise and wide reflective equilibrium. A case depicts a disagreement between a nurse and a doctor in an intensive care unit that is resolved by a compromise that emanates from a process of deliberation among the staff. Reflective equilibrium was widely adopted into moral philosophy, and it quickly expanded into wide reflective equilibrium. Here it is further enhanced by adding the three features of liberation, extension, and enrichment. The upshot of these developments is a completed initial account of non-formal rationality with four resources, two specific methods, and a shift from principles to values.

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.


2016 ◽  
Vol 61 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Sascha A. van den Born-van Zanten ◽  
Dave A. Dongelmans ◽  
Daniela Dettling-Ihnenfeldt ◽  
Roel Vink ◽  
Marike van der Schaaf

2018 ◽  
Author(s):  
Dawn Opgenorth ◽  
Henry T. Stelfox ◽  
Elaine Gilfoyle ◽  
R. T. Noel Gibney ◽  
Michael Meier ◽  
...  

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