Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 35
Filtrar
Más filtros










Intervalo de año de publicación
1.
Medicina (Kaunas) ; 57(8)2021 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-34440991

RESUMEN

Background and Objectives: The purpose of this study is to evaluate dental medical students' opinions concerning domestic violence from a social and medical standpoint and from the perspective of the moral values of the physician-patient relationship. Materials and Methods: We performed an observational study with 4- and 5-year dental medical students at the UMF "Carol Davila" in Bucharest from October 2020-May 2021, using a questionnaire containing 20 items on domestic violence (DV). The questionnaire was uploaded online on the e-learning platform where the students have access. To collect the data, we used Microsoft Excel 365, and the statistical analysis was performed using Jamovi. Results: Of the 600 students enrolled, 415 answered the questionnaire, the answering rate being 69.16%. A total of 215 (53.1%) personally knew victims of DV, 4 (1.0%) considered that violence within a couple is necessary for certain situations, 401 (99.0%) considered that domestic violence is a fundamental problem in today's society, and 170 (41.5%) felt that in domestic violence situations, the blame lies solely with the partner who resorts to physical violence. Regarding the role of the physician, 220 (56%) considered that the physician should breach confidentiality and report cases when patients state they are a victim of DV, 337 (88.2%) thought that free medical treatment should be provided for DV victims who have a dire financial situation, and 212 (56.7%) considered that victims of DV are non-compliant patients. Conclusions: Domestic violence is a phenomenon well-known to stomatology students, which creates the premise of an excellent physician-patient relationship with them, aiding in proper management of ethical issues such as a potential need to breach confidentiality or evaluate the potential conflicts between autonomy and beneficence.


Asunto(s)
Violencia Doméstica , Estudiantes de Medicina , Humanos , Encuestas y Cuestionarios
2.
Nurs Ethics ; 24(6): 694-703, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26811398

RESUMEN

INTRODUCTION: In previous issues of this journal, Carol Gilligan's original concept of mature care has been conceptualized by several (especially Norwegian) contributors. This has resulted in a dichotomous view of self and other, and of self-care and altruism, in which any form of self-sacrifice is rejected. Although this interpretation of Gilligan seems to be quite persistent in care-ethical theory, it does not seem to do justice to either Gilligan's original work or the tensions experienced in contemporary nursing practice. DISCUSSION: A close reading of Gilligan's concept of mature care leads to a view that differs radically from any dichotomy of self-care and altruism. Instead of a dichotomous view, a dialectical view on self and other is proposed that builds upon connectedness and might support a care-ethical view of nursing that is more consistent with Gilligan's own critical insights such as relationality and a practice-based ethics. A concrete case taken from nursing practice shows the interconnectedness of professional and personal responsibility. This underpins a multilayered, complex view of self-realization that encompasses sacrifices as well. CONCLUSION: When mature care is characterized as a practice of a multilayered connectedness, caregivers can be acknowledged for their relational identity and nursing practices can be recognized as multilayered and interconnected. This view is better able to capture the tensions that are related to today's nursing as a practice, which inevitably includes sacrifices of self. In conclusion, a further discussion on normative conceptualizations of care is proposed that starts with a non-normative scrutiny of caring practices.


Asunto(s)
Altruismo , Ética en Enfermería , Relaciones Profesional-Paciente/ética , Empatía/ética , Teoría Ética , Humanos , Desarrollo Moral , Noruega
3.
Rech Soins Infirm ; (122): 18-25, 2015 Sep.
Artículo en Francés | MEDLINE | ID: mdl-26685550

RESUMEN

Down to the roots, the ethics of care have stood up a "different voice". Building on Carol Gilligan's works, the concept was developed widely in opposition with the rational and universalist aspect of Kant's moral philosophy. However, it also appears that this vision of care runs counter sets the three other main dominant moral theories, ie, utilitarism, John Rawls' procedural ethics and the Aristotelian virtue ethics. We may assert that the care theory presents itself as a contextualized moral theory aiming at taking into account others' vulnerability, in a practical way. Hence, the general term of "care" may encompass the notions of "help", "support" and "healing process", which, in France, for have often been opposed for varied reasons--historical, economical, psychological, professional etc... Switching from a moral position to a professional and practical activity, the concept of care has now undeniably taken on now a social and political dimension.


Asunto(s)
Ética en Enfermería , Enfermería/normas , Política
4.
New Bioeth ; 21(1): 33-45, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-29384343

RESUMEN

In her work on moral reasoning, Carol Gilligan identifies two distinct models which she terms the 'voice of care' and the 'voice of justice'. The 'voice of justice' informs a professional practice grounded in fairness and objectivity and is principally concerned with rights and obligations. It can motivate the drive for legislation and codes of ethics that provide clear rules and regulations to govern social care practice. In contrast, the 'voice of care' prioritises relationships, requiring practitioners to pay attention to the particularity of each moral situation. As a result, the demand to commit to upholding universal principles and rights cannot be met. This paper explores the nature of the conflict between the moral voice of care and justice, applying insights from these diverging voices to deepen our understanding of the kind of professionalization appropriate in social care.


Asunto(s)
Justicia Social , Principios Morales , Competencia Profesional
5.
J Med Humanit ; 35(3): 335-48, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25060357

RESUMEN

This essay examines debates over alternative ethical formulations that break from the Kantian model through contemporary fiction--Kiran Desai's The Inheritance of Loss (2006), Kazuo Ishiguro's Never Let Me Go (2005) and Zadie Smith's On Beauty (2005). The essay returns to the theory, the ethics of care, put forward by Carol Gilligan in In a Different Voice (1982), which has regained significance in the context of questions surrounding care in contemporary ethical thinking. While the three novels are concerned with ideas of care, beauty, justice and the tyranny of the mainstream, this essay examines particular themes in particular texts which suggest that ideas with otherwise subversive potential--like care or beauty or justice--lose their radicalism when they are incorporated within the impersonal, masculinist mainstream. Carol Gilligan's feminine ethics of care, with its respect for the particular, is not only still important as the stimulus to thinking about alternatives to overarching ethical discourses, but it could also re-confer these concepts of care, beauty and justice their revolutionary potential.


Asunto(s)
Ética/historia , Medicina en la Literatura , Historia del Siglo XX , Historia del Siglo XXI , India , Literatura Moderna
6.
Nurs Ethics ; 21(7): 794-802, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24615589

RESUMEN

INTRODUCTION: We discuss Carol Gilligan's original concept of mature care in the light of the altruistic approach to caring and good clinical judgment. DISCUSSION: In particular, we highlight how the concept of mature care can capture important challenges in today's nursing. Further, we illuminate how mature care might differ normatively from an altruistic approach to caring and the traditional prudential virtues in nursing. We also discuss similarities between mature care and virtue ethics. CONCLUSION: For nursing and nurses' identity, in today's health care system that is increasingly pressured to 'produce' health, we believe it is important to both developing further theories on mature care and having normative discussions about care.


Asunto(s)
Altruismo , Ética en Enfermería , Relaciones Enfermero-Paciente/ética , Competencia Clínica/normas , Derechos Humanos/normas , Humanos , Principios Morales , Teoría de Enfermería , Ética Basada en Principios , Valores Sociales
7.
J Aging Stud ; 28: 44-56, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24384366

RESUMEN

This study examined moral reasoning among ethnically and socioeconomically diverse older women based on the care and justice moral orientations reflecting theoretical frameworks developed by Carol Gilligan and Lawrence Kohlberg, respectively. A major gap in this area of research and theory development has been the lack of examination of moral reasoning in later life. This study addressed this gap by assessing socioeconomically and ethnically diverse older women's reasoning in response to ethical dilemmas showing conflict between autonomy, representative of Kohlberg's justice orientation, and protection, representative of Gilligan's care orientation. The dilemmas used in this study came from adult protective services (APS), the U.S. system that investigates and intervenes in cases of elder abuse and neglect. Subjects were 88 African American, Latina, and Caucasian women age 60 or over from varying socioeconomic status backgrounds who participated in eight focus groups. Overall, participants favored protection over autonomy in responding to the case scenarios. Their reasoning in responding to these dilemmas reflected an ethic of care and responsibility and a recognition of the limitations of autonomy. This reasoning is highly consistent with the care orientation. Variations in the overall ethic of care and responsibility based on ethnicity and SES also are discussed.


Asunto(s)
Ética , Grupos Étnicos/psicología , Principios Morales , Bienestar Social/psicología , Mujeres/psicología , Anciano , Anciano de 80 o más Años , Abuso de Ancianos/psicología , Femenino , Grupos Focales , Servicios de Salud para Ancianos , Hogares para Ancianos , Viviendas para Ancianos , Humanos , Persona de Mediana Edad , Teoría Psicológica , Investigación Cualitativa , Factores Socioeconómicos , Encuestas y Cuestionarios
8.
Narrat Inq Bioeth ; 3(1): 1-3, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24406989

RESUMEN

This narrative symposium examines the relationship of bioethics practice to personal experiences of illness. A call for stories was developed by Tod Chambers, the symposium editor, and editorial staff and was sent to several commonly used bioethics listservs and posted on the Narrative Inquiry in Bioethics website. The call asked authors to relate a personal story of being ill or caring for a person who is ill, and to describe how this affected how they think about bioethical questions and the practice of medicine. Eighteen individuals were invited to submit full stories based on review of their proposals. Twelve stories are published in this symposium, and six supplemental stories are published online only through Project MUSE. Authors explore themes of vulnerability, suffering, communication, voluntariness, cultural barriers, and flaws in local healthcare systems through stories about their own illnesses or about caring for children, partners, parents and grandparents. Commentary articles by Arthur Frank, Bradley Lewis, and Carol Taylor follow the collection of personal narratives.


Asunto(s)
Discusiones Bioéticas , Bioética , Personal de Salud , Narración , Ética Clínica , Humanos , Principios Morales
9.
Nurs Ethics ; 18(2): 174-83, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21372230

RESUMEN

The aim of this article is to investigate the concept of care in contemporary medical practice and medical ethics. Although care has been hailed throughout the centuries as a crucial ideal in medical practice and as an honourable virtue to be observed in codes of medical ethics, I argue that contemporary medicine and medical ethics suffer from the lack of a theoretically sustainable concept of care and then discuss possible reasons that may help to explain this absence. I draw on the empirical studies of Carol Gilligan on care and connectedness as ontologically situated realities in human life. Based on a philosophical elaboration of her findings on the ethics of care emphasizing relationality, I try to show how the notion of 'relational ontology' originating from this stream of thought may be of help in developing a medical ethics that acknowledges care as a perspective to be observed in all interactions between physicians and patients.


Asunto(s)
Ética Clínica , Ética Médica , Atención al Paciente/ética , Ética Basada en Principios , Relaciones Profesional-Paciente/ética , Virtudes , Empatía/ética , Teoría Ética , Humanos , Principios Morales , Defensa del Paciente/ética , Valores Sociales
10.
Nurs Stand ; 23(12): 18-9, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19093350
11.
Metas enferm ; 8(8): 14-18, oct. 2005.
Artículo en Es | IBECS | ID: ibc-043433

RESUMEN

La Enfermería, como la Medicina, es una práctica moral, lo que significa que incorpora una actitudo comportamiento ético (el cuidado excelente), basado en una virtud moral (la solidaridad yla preocupación por el bien de los seres humanos), que se ejerce conforme a patrones éticos(corrección técnica y moral) y por la que se exige responsabilidad. Se trata, por tanto, de una tareaapasionante en la que, ante todo, se produce una relación de comunicación entre personas,para la cual se exige una excelencia tanto técnica como humana.Para poder articular una ética enfermera hay que saber qué es la ética y cuáles son sus características,conocimientos imprescindibles para poder entender que aquella no debe ser un merorecetario de normas de buena conducta, sino que debe ser un marco desde donde analizar losproblemas éticos y, sobre todo, desde donde tomar decisiones razonadas y prudentes. Las aportacionesde Carol Gilligan son aceptadas por una buena parte de autoras dedicadas al estudiode la ética enfermera como una clave de interpretación de lo que supone la labor del cuidadoprofesional.Las ideas aquí expresadas han sido desarrolladas con mayor amplitud por la autora de este artículoen su libro “Ética profesional de la enfermería. Filosofía de la enfermería como ética delcuidado”


Nursing, as Medicine, is a moral practice, which means that it incorporates an attitude or ethicalbehaviour (excellent care), based on a moral virtue (solidarity and concern for the well being ofmankind), exercised in accordance with ethical patterns (technical and moral correction) andwhich requires responsibility.Consequently, it is an exciting career, in which above all, a communication interrelationship occursbetween people, requiring excellence in both technical and human manners. To be able toarticulate nursing ethics, one must know what ethics means and what its characteristics are, essentialknowledge to be able to understand that ethics should not be just a good compilation ofgood behaviour norms but a framework from where to analyse ethical problems and, above all,from where to take reasoned and prudent decisions. The contributions of Carol Gilligan are acceptedby numerous authors dedicated to the study of nursing ethics as an interpretation key ofwhat professional care is supposed to be. The ideas expressed in this paper have been developedmore widely by the author of this paper in her book “Ética profesional de la enfermería. Filosofíade la enfermería como ética del cuidado” (Professional Ethics in Nursing. Nursing Philosophyas Ethics of Care


Asunto(s)
Humanos , Ética en Enfermería , Relaciones Enfermero-Paciente/ética , Conocimientos, Actitudes y Práctica en Salud
12.
Nurs Health Sci ; 7(1): 21-8, 2005 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-15670003

RESUMEN

Clinical nursing supervision enables supervisees to reflect on ethically difficult caring situations, thereby strengthening their professional identity, integrating nursing theory and practice, and leading to the development of ethical competence. The aim of this study was to develop an understanding of the core ethical issues of clinical nursing supervision, using previous research as well as philosophical analysis of the theories of three moral philosophers: Harald Ofstad, Richard Hare and Carol Gilligan. The ultimate aim of this study was to develop a general model for ethical decision-making and to establish its relevance for clinical nursing supervision. The findings highlight four important values for the development of a basis for ethical decision-making. These values are caring, dignity, responsibility and virtue.


Asunto(s)
Toma de Decisiones/ética , Supervisión de Enfermería/ética , Teoría Ética , Ética en Enfermería , Humanos
13.
Psicol. ciênc. prof ; 24(3): 12-23, jul.-set.2004.
Artículo en Portugués | LILACS | ID: lil-477577

RESUMEN

Este artigo é a adaptação de um capítulo da dissertação desenvolvida no Mestrado em Psicologia Escolar e do Desenvolvimento Humano do Instituto de Psicologia da USP. Implica a visitação teórica das obras de Jean Piaget, Lawrence Kohlberg e Carol Gilligan sobre o desenvolvimento moral na perspectiva da Psicologia. As teorias são construídas a partir de uma concepção da moralidade por meio de fatores cognitivos e baseados na justiça, na opinião dos dois primeiros autores, até o desenvolvimento da ética do cuidado, na teoria da terceira autora. Tal caminho nos leva inevitavelmente a considerar que diversos elementos, não só a justiça, participam do juízo e da ação moral, entre eles, virtudes como a generosidade


This article is an adaptation of a chapter from the USP Psychology Institute Master’s degree dissertation in School Psychology and Human Development. It involves the theoretical knowledge of Jean Piaget, Laurence Kohlberg and Carol Gilligan about the moral development in the perspective of Psychology. The theories are built based on a conception of morality through cognitive factors and based on justice, according to the two first authors, up to the development of the care ethic, according to the third author’s theory. This concept leads us, inevitably, to consider that several elements, not only justice, take part in sense and moral action, among them, virtues as generosity.


Asunto(s)
Preescolar , Niño , Desarrollo Moral , Virtudes
14.
Psicol. ciênc. prof ; 24(3): 12-23, set. 2004.
Artículo en Portugués | Index Psicología - Revistas | ID: psi-31778

RESUMEN

Este artigo é a adaptação de um capítulo da dissertação desenvolvida no Mestrado em Psicologia Escolar e do Desenvolvimento Humano do Instituto de Psicologia da USP. Implica a visitação teórica das obras de Jean Piaget, Lawrence Kohlberg e Carol Gilligan sobre o desenvolvimento moral na perspectiva da Psicologia. As teorias são construídas a partir de uma concepção da moralidade por meio de fatores cognitivos e baseados na justiça, na opinião dos dois primeiros autores, até o desenvolvimento da ética do cuidado, na teoria da terceira autora. Tal caminho nos leva inevitavelmente a considerar que diversos elementos, não só a justiça, participam do juízo e da ação moral, entre eles, virtudes como a generosidade(AU)


Asunto(s)
Preescolar , Niño , Desarrollo Moral , Virtudes
16.
Med Health Care Philos ; 6(1): 51-8, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12710564

RESUMEN

Conducting empirical research on gender in medical ethics is a challenge from a theoretical as well as a practical point of view. It still has to be clarified how gender aspects can be integrated without sustaining gender stereotypes. The developmental psychologist Carol Gilligan was among the first to question ethics from a gendered point of view. The notion of care introduced by her challenged conventional developmental psychology as well as moral philosophy. Gilligan was criticised, however, because her concept of 'two different voices' may reinforce gender stereotypes. Moreover, although Gilligan stressed relatedness, this is not reflected in her own empirical approach, which still focuses on individual moral reflection. Concepts from social psychology can help overcome both problems. Social categories like gender shape moral identity and moral decisions. If morality is understood as being lived through actions of persons in social relationships, gender becomes a helpful category of moral analysis. Our findings will provide a conceptual basis for the question how empirical research in medical ethics can successfully embrace a gendered perspective.


Asunto(s)
Ética Médica , Principios Morales , Sexo , Cognición , Atención a la Salud/ética , Investigación Empírica , Femenino , Alemania , Humanos , Masculino , Psicología Social , Justicia Social/ética
17.
Health Commun ; 14(2): 243-70, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12046800

RESUMEN

This article considers the narrative testimonial as a rhetorical form in the service of public judgment, with particular attention to the witness's credibility and communicative competence. The author argues that a narrator and witness, as a participant-observer of the events recounted, must generate a story that does not compromise her credibility as a moral agent within the text, and that the capacity to do so is largely a function of communicative competence. Carol Loving's recent book concerning her son's physician assisted suicide is critically assessed to illustrate the primary argument. The critique attempts to show that she neither creates a substantial argument for physician assisted suicide, nor does she warrant her role as a spokesperson for the issue because her narrative violates formative features of maternal identity. Loving's narrative also unintentionally reveals motivational clusters that conflict with and compromise the primary argument, thereby subverting the process of persuasive appeal. Whereas mothers are often mediators for their children in health matters ranging from colds, to psychiatric issues, to matters of death and dying, the failure of Carol Loving in this text, as well as its analysis, should be instructive and cautionary to health professionals who rely on maternal discourse in handling patients, as well as audiences who rely on narrative testimonials as content in their deliberation of public issues.


Asunto(s)
Actitud Frente a la Muerte , Autobiografías como Asunto , Principios Morales , Madres/psicología , Suicidio Asistido/psicología , Adulto , Esclerosis Amiotrófica Lateral , Anécdotas como Asunto , Comunicación , Conflicto Psicológico , Femenino , Humanos , Masculino , Estados Unidos
18.
Christ Bioeth ; 7(1): 95-103, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11899994

RESUMEN

Issues of institutional identity and integrity in Roman Catholic health care institutions have been addressed at the level of individual institutions as well as by organizations of Catholic health care providers and at various levels in the Church hierarchy. The papers by Carol Taylor, C.S.F.N., Thomas Shannon, Kevin O'Rourke, O.P., Gerard Magill in this volume provide a significant contribution to concerns of Roman Catholic health care institutions as they face the challenges of providing health care in a secular, pluralistic, market-driven economy. One way to understand institutional integrity is as a measure of the coherence between what an institution identifies as its commitments (its stated moral character), what an institution does (its manifest moral character) and an institution's fundamental moral commitments (its deep moral character). The essays in this volume support this model of integrity. Although it is not their explicit focus, the four essays together provide a vision of institutional integrity for Catholic health care institutions. Each author focuses on one of the three central aspects of integrity: what one identifies as one's commitments (Taylor), how one's actions reflect one's values (Shannon and Magill), and what one is or what one values at a deep level (O'Rourke). I will offer a brief overview of the ways in which the integrity of Catholic health care institutions has been addressed. Then I will consider the four essays and show how each offers an analysis of one of the three critical elements of integrity.


Asunto(s)
Catolicismo , Ética Institucional , Hospitales Religiosos/organización & administración , Hospitales Religiosos/normas , Cultura Organizacional , Objetivos Organizacionales
19.
J Med Philos ; 23(2): 190-209, 1998 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9638569

RESUMEN

In this paper, I urge that the very real lessons Carol Gilligan's work in moral psychology offer to moral philosophy can best be appreciated if we take seriously the gap between the two disciplines. The care and justice perspectives Gilligan explores are psychological orientations, and orientations are defined as much by matters of emphasis, selectivity of interpretation, and gestalt as they are by propositional commitment. As such, I argue, their contribution to moral theory is best seen as stances from which to do theory, rather than as constituting ready-made theories themselves. In pursuing this train of thought, I examine how Gilligan's work has developed over time and how, in the end, we should understand the juxtaposition between the two orientations.


Asunto(s)
Empatía , Análisis Ético , Teoría Ética , Ética Médica , Desarrollo Moral , Principios Morales , Feminismo , Humanos , Relaciones Interpersonales , Obligaciones Morales , Filosofía , Justicia Social , Virtudes
20.
Adolescence ; 32(126): 463-70, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9179342

RESUMEN

This article describes the different preferences in learning styles of adolescent females and males, based on the pioneering work on adolescent values development by Lawrence Kohlberg and Carol Gilligan. Since values education programs are currently considered very important, educators need to explore the philosophical, psychological, and social influences on students' learning preferences before they can introduce appropriate curricula. An indication of problems in adolescent females frequently is the occurrence of voice changes, for example, girls may express viewpoints that do not represent their true beliefs and feelings. Curricular and co-curricular suggestions are presented.


Asunto(s)
Educación Especial , Identidad de Género , Principios Morales , Desarrollo de la Personalidad , Valores Sociales , Adolescente , Femenino , Humanos , Discapacidades para el Aprendizaje/psicología , Masculino , Política , Solución de Problemas , Autoimagen , Derechos de la Mujer
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...