No description available.

No description available.

Genetic medicine is an emerging area of healthcare which constantly raises novel ethical challenges in the clinical realm due to its capacity to reveal information that has deeply personal meaning. Genetic tests can reveal more than is strictly essential for immediate medical care because they can diagnose conditions that cannot be cured, treated or effectively managed. The diagnosis of a genetic condition in one individual can have repercussions throughout an extended family, and genetic knowledge has created innovative, technologically driven, reproductive options. For clients of genetic counselling, moral choice does not readily result from uncluttered logic or easy personal preference, nor does it involve the application of sterile principles and laws, but is a much richer process involving personal history and culture, as well as reflection upon personal values, current resources and projected life goals. For these reasons, I question the validity of the exclusive use of a narrow version of Principlism, as it is commonly operationalised, for the medical sub-specialty of clinical genetics. Its heavy emphasis on individual autonomy, which has become synonymous with clinical medicine, does not take into account the fact that most genetic tests have little or no immediate clinical utility, or that genetic medicine is primarily about the way in which genetic conditions pass through families, and management of recurrence risks by choice of reproductive options. Therefore, the aim of this dissertation is to develop and explore a broader contextual moral framework, which is better suited to deliberation about complex ethical dilemmas in clinical genetics, than the current dominant approach which tends to follow a restrictive and non-inclusive application of Principlism. To achieve this aim, I have started with a review of relevant history and socio-political forces that have shaped the current status of the genetic medicine, and examined the evolution of current attitudes that underpin recognition, analysis and management of the ethical challenges in genetic medicine. I have analysed the manner in which Principlism and other normative theories are employed by bioethicists and clinicians in response to ethical dilemmas, and presented an alternative approach which employs a broader contextual ethical framework. I have devised an approach which attends to the importance of both current social opinion, and the tradition of evidence-based medicine, with reference to selected traditions in philosophical analysis. vi In conclusion, I advocate attention to concrete circumstances, which includes recognition of historical development, which has shaped current medical and wider social values, beliefs, norms and attitudes political context, including critical analysis of relevant political motivations social context, particularly situational power structures, trust relationships and relational obligations personal values, resources and experiences of the stakeholder(s) the range of realistically available options for the stakeholder(s) the impact of economic limits, which might be institutional and / or personal And, to achieve this objective of building a ‘thick’ ethical discourse, I propose a series of questions, which can be readily utilised by genetic and non-genetic health professionals as well as other members of society to work towards resolutions that represent a balance of fairness, economic responsibility with scarce resources, and socially acceptability. This approach appropriately attends to the relational and communicative aspects of moral dilemmas in clinical genetics, and is likely to yield more meaningful (and less likely paternalistic) conclusions, which would be of greater value to our morally pluralist society.

Thesis (Ph. D.)--University of Chicago, Faculty of the Divinity School, August 2001. / Includes bibliographical references. Also available on the Internet.

Disertacijoje keliamas šiuo metu vis aktualesniu tampantis rūpesčio etikos normatyvinis klausimas: kaip galima aiškiau apibrėžti normatyvinį šios etikos turinį ir koks galėtų būti jos normatyvinis pagrindas. Disertacijos tikslas – ištirti pagrindines teorines rūpesčio etikos normatyvinio plėtojimo tendencijas ir išryškinti naujas jos vystymo galimybes. Siekiant šių tikslų, analizuojami pirmųjų rūpesčio etikos kūrėjų (Carol Gilligan, Nel Noddings, Eva Feder Kittay etc.) darbai. Nagrinėjant jų idėjas, rekonstruojama etinė rūpesčio/rūpinimosi sąvokos reikšmė, rūpestį/rūpinimąsi konstituojantys veiksniai. Teigiama, kad rūpesčio etikos specifiką formuoja reliacinė etinė prieiga, t. y. šios etikos išeities taškas yra santykiai, santykių konstituojamas moralinis veikimas. Analizuojant vėlesnių rūpesčio etikos plėtotojų (Michael Slote, Raja Halwani) idėjas, kritiškai nagrinėjama tendencija normatyvinei rūpesčio etikos plėtrai pasitelkti tradicinių moralės teorijų – dorybių ir sentimentalizmo etikos – sąvokas. Teigiama, kad bandymai konceptualizuoti normatyvinį rūpesčio etikos žodyną kitų moralės teorijų sąvokomis užgožia reliacinį rūpinimosi pobūdį. Ieškant konceptualinių resursų, kurie padėtų plėtoti normatyvinį reliacinės rūpesčio etikos turinį, nagrinėjamos filosofų Simone Weil, Iris Murdoch, Soran Reader, Emmanuelio Levino idėjos. Ginama tezė, kad rūpesčio etikos specifiką atskleidžia normatyvinis žodynas, leidžiantis konceptualizuoti moralinius rūpinimosi reikalavimus... [toliau žr. visą tekstą] / This thesis offers an analysis of a particular issue concerning the normativity of the ethics of care which is presently ever more relevant for this branch of ethics. This is the issue of how one could describe the normative content of the ethics of care and its specificity and what could be a normative foundation for this ethics. The goal of this thesis is to scrutinize main theoretical tendencies of the normative development of the ethics of care and to put forward the new developmental possibilities. In order to achieve this objective several steps are made. First of all, the works of first care ethicists (Carol Gilligan, Nel Noddings, Sara Ruddick, etc.) are analysed so as to reconstruct the ethical meaning of the notion of care and the constitutive factors of it. It is argued that the specificity of the ethics of care is established by the relational ethical approach: the point of departure in this case is relation and relational moral agency. The analysis of the subsequent discourse of the ethics of care provides a critical view towards the tendency apply traditional moral theories, mostly virtue and sentimentalist ethics, for the normative purposes. It is argued that the attempts to conceptualise normative vocabulary of the ethics of care applying the concepts from other moral theories conceal the relational character of this branch of ethics. In order to find sufficient conceptual recourses for the development of the normative content of the relational ethics of care... [to full text]

This thesis offers an analysis of a particular issue concerning the normativity of the ethics of care which is presently ever more relevant for this branch of ethics. This is the issue of how one could describe the normative content of the ethics of care and its specificity and what could be a normative foundation for this ethics. The goal of this thesis is to scrutinize main theoretical tendencies of the normative development of the ethics of care and to put forward the new developmental possibilities. In order to achieve this objective several steps are made. First of all, the works of first care ethicists (Carol Gilligan, Nel Noddings, Sara Ruddick, etc.) are analysed so as to reconstruct the ethical meaning of the notion of care and the constitutive factors of it. It is argued that the specificity of the ethics of care is established by the relational ethical approach: the point of departure in this case is relation and relational moral agency. The analysis of the subsequent discourse of the ethics of care provides a critical view towards the tendency apply traditional moral theories, mostly virtue and sentimentalist ethics, for the normative purposes. It is argued that the attempts to conceptualise normative vocabulary of the ethics of care applying the concepts from other moral theories conceal the relational character of this branch of ethics. In order to find sufficient conceptual recourses for the development of the normative content of the relational ethics of care... [to full text] / Disertacijoje keliamas šiuo metu vis aktualesniu tampantis rūpesčio etikos normatyvinis klausimas: kaip galima aiškiau apibrėžti normatyvinį šios etikos turinį ir koks galėtų būti jos normatyvinis pagrindas. Disertacijos tikslas – ištirti pagrindines teorines rūpesčio etikos normatyvinio plėtojimo tendencijas ir išryškinti naujas jos vystymo galimybes. Siekiant šių tikslų, analizuojami pirmųjų rūpesčio etikos kūrėjų (Carol Gilligan, Nel Noddings, Eva Feder Kittay etc.) darbai. Nagrinėjant jų idėjas, rekonstruojama etinė rūpesčio/rūpinimosi sąvokos reikšmė, rūpestį/rūpinimąsi konstituojantys veiksniai. Teigiama, kad rūpesčio etikos specifiką formuoja reliacinė etinė prieiga, t. y. šios etikos išeities taškas yra santykiai, santykių konstituojamas moralinis veikimas. Analizuojant vėlesnių rūpesčio etikos plėtotojų (Michael Slote, Raja Halwani) idėjas, kritiškai nagrinėjama tendencija normatyvinei rūpesčio etikos plėtrai pasitelkti tradicinių moralės teorijų – dorybių ir sentimentalizmo etikos – sąvokas. Teigiama, kad bandymai konceptualizuoti normatyvinį rūpesčio etikos žodyną kitų moralės teorijų sąvokomis užgožia reliacinį rūpinimosi pobūdį. Ieškant konceptualinių resursų, kurie padėtų plėtoti normatyvinį reliacinės rūpesčio etikos turinį, nagrinėjamos filosofų Simone Weil, Iris Murdoch, Soran Reader, Emmanuelio Levino idėjos. Ginama tezė, kad rūpesčio etikos specifiką atskleidžia normatyvinis žodynas, leidžiantis konceptualizuoti moralinius rūpinimosi reikalavimus... [toliau žr. visą tekstą]

No abstract available. / Thesis (M.Th.)-University of Natal, Pietermaritzburg, 1998.

Genetic medicine is an emerging area of healthcare which constantly raises novel ethical challenges in the clinical realm due to its capacity to reveal information that has deeply personal meaning. Genetic tests can reveal more than is strictly essential for immediate medical care because they can diagnose conditions that cannot be cured, treated or effectively managed. The diagnosis of a genetic condition in one individual can have repercussions throughout an extended family, and genetic knowledge has created innovative, technologically driven, reproductive options. For clients of genetic counselling, moral choice does not readily result from uncluttered logic or easy personal preference, nor does it involve the application of sterile principles and laws, but is a much richer process involving personal history and culture, as well as reflection upon personal values, current resources and projected life goals. For these reasons, I question the validity of the exclusive use of a narrow version of Principlism, as it is commonly operationalised, for the medical sub-specialty of clinical genetics. Its heavy emphasis on individual autonomy, which has become synonymous with clinical medicine, does not take into account the fact that most genetic tests have little or no immediate clinical utility, or that genetic medicine is primarily about the way in which genetic conditions pass through families, and management of recurrence risks by choice of reproductive options. Therefore, the aim of this dissertation is to develop and explore a broader contextual moral framework, which is better suited to deliberation about complex ethical dilemmas in clinical genetics, than the current dominant approach which tends to follow a restrictive and non-inclusive application of Principlism. To achieve this aim, I have started with a review of relevant history and socio-political forces that have shaped the current status of the genetic medicine, and examined the evolution of current attitudes that underpin recognition, analysis and management of the ethical challenges in genetic medicine. I have analysed the manner in which Principlism and other normative theories are employed by bioethicists and clinicians in response to ethical dilemmas, and presented an alternative approach which employs a broader contextual ethical framework. I have devised an approach which attends to the importance of both current social opinion, and the tradition of evidence-based medicine, with reference to selected traditions in philosophical analysis. vi In conclusion, I advocate attention to concrete circumstances, which includes recognition of historical development, which has shaped current medical and wider social values, beliefs, norms and attitudes political context, including critical analysis of relevant political motivations social context, particularly situational power structures, trust relationships and relational obligations personal values, resources and experiences of the stakeholder(s) the range of realistically available options for the stakeholder(s) the impact of economic limits, which might be institutional and / or personal And, to achieve this objective of building a ‘thick’ ethical discourse, I propose a series of questions, which can be readily utilised by genetic and non-genetic health professionals as well as other members of society to work towards resolutions that represent a balance of fairness, economic responsibility with scarce resources, and socially acceptability. This approach appropriately attends to the relational and communicative aspects of moral dilemmas in clinical genetics, and is likely to yield more meaningful (and less likely paternalistic) conclusions, which would be of greater value to our morally pluralist society.

Thesis (M.A.)--Miami University, Dept. of Psychology, 2006. / Title from first page of PDF document. Includes bibliographical references (p. 44-56).

xi, 205 p. / As an increasing number of differentially situated women implicated within the global economy continue to come into contact with each other, a host of opportunities and challenges are inaugurated for feminist praxes across borders and differences. The cycles of dependencies accentuated by globalization come hand-in-hand with concerns about unequal distribution, unequal access to resources, and the rise of fundamentalist ideologies. All these together remind us of the urgency of collaboration and cooperation across differences. At the same time, the presence of differences and inequalities threaten to undermine the spirit for collaboration at any given moment. We, therefore, need analytical frameworks that are able to do justice to our identities and agency within interactive spaces. We also need better evaluative frameworks for theorizing ethical responsibility and political concerns about justice within a transnational space that take these realities into account. I argue for the possibility of a new "critical multicultural transnational feminism" and develop a theoretical framework to anchor this vision in my dissertation. The "critical" component emphasizes the vision for a feminism that is, at once, a self-reflective praxis. The juxtaposition of "multicultural" and "transnational" seeks to emphasize the need for recognizing both the limitations and the importance of borders on our lives. To do this, I articulate an alternative logic of "borders" so as to develop an interactive ontology for thinking about transnationalism and transnational identity. I then take up the project of envisioning the ethical-political project of "solidarity" in the light of this ontology. The philosophical framework that I develop is inspired by the philosophical pragmatism of Mary Parker Follett and Josiah Royce, the existential phenomenology of Simone de Beauvoir, and the work of various postcolonial feminists such as bell hooks, Chandra Mohanty, and Ofelia Schutte. This framework is a feminist pragmatic phenomenology for postcolonial feminist ethics and politics, which can serve as a normative paradigm and a framework of analysis. Finally, I use the framework developed in the dissertation to analyze and evaluate aspects of the international industry in surrogacy-related fertility tourism--a paradigmatic instance of incommensurability and inequality among women within the global economy. / Committee in charge: Bonnie Mann, Co-Chair; Scott L. Pratt, Co-Chair; Mark Johnson, Member; Judith Raiskin, Outside Member