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PubMed1997

Moral orientation of elderly persons: considering ethical dilemmas in health care.

Knowledge about moral development and elderly persons is very limited. A hermeneutical interpretative study was conducted with healthy elderly persons (n = 20) in order to explore and describe their moral orientation based on the paradigms of justice (Kohlberg) and care (Gilligan). The types of moral reasoning, dominance, alignment and orientation were determined. All but one participant included both types of reasoning when discussing an ethical conflict. None of the men's moral reasoning was dominated by caring, but justice dominated the reasoning of four women. The implications for ethical decision-making and future research are discussed.

Aged↗
PubMed2002

Am I still ethical? The socially-mediated process of nurses' moral identity.

In a recent, currently unpublished, research project that sought to examine the meaning and enactment of ethical nursing practice across a variety of clinical settings, the significance of moral identity was highlighted. This article describes the findings and illuminates how the moral identities of the nurse participants arose and evolved as they navigated their way through the contextual and systemic forces that shaped the moral situations of their practice. The study revealed the socially-mediated process of identity development and the narrative, dialogical, relational and contextual nature of nurses' moral identities.

Attitude of Health Personnel↗
PubMed2004

Moral professional personhood: ethical reflections during initial clinical encounters in nursing education.

Moral agency is an important constituent of the nursing role. We explored issues of ethical development in Greek nursing students during clinical practice at the beginning of their studies. Specifically, we aimed to explore students' lived experience of ethics, and their perceptions and understanding of encountered ethical conflicts through phenomenological analysis of written narratives. The process of developing an awareness of personal values through empathizing with patients was identified as the core theme of the students' experience. Six more common themes were identified. Development of the students' moral awareness was conceptualized as a set of stages, commencing with empathizing with patients and nurses, moving on to taking a moral stand and, finally, concluding by becoming aware of their personal values and showing evidence of an emerging professional moral personhood. The notions of empathy, caring and emotion were in evidence throughout the students' experience. Implications for practice and nurse education are discussed.

Adult↗
PubMed2003

Emotional responses to antisocial acts in adolescent males with conduct disorder: a link to affective morality.

Examined the role of emotion-based moral processes in the committing of delinquent acts by adolescent males with conduct disorder (CD). An Affective Morality Index (AMI) was developed to assess emotional responses to vignettes of delinquent acts. CD groups, as compared to a non-CD group, reported lower levels of guilt and fear and higher levels of excitement and happiness following described transgressions. Number of CD symptoms and a recidivism-risk item were correlated negatively with reported guilt and fear and positively with happiness and excitement. Trends suggested that youth with childhood-onset CD (CO) show lower levels of affective morality than those with adolescent-onset CD (AO). There were no effects for anger. This research, and in particular the AMI, expands our understanding of affective-based morality, especially in discriminating between CD and non-CD youth.

Adolescent↗
PubMed1997

Enemies of the people: the moral dimension to public health.

This essay explores the effects of morality on health policy. Moral images and stereotypes, I argue, have powerful political consequences. They are the differences between fighting poverty and fearing the poor, between expanding social welfare programs and cracking down on crime, between public health campaigns and drug wars. I begin by locating morality within traditional paradigms of American politics (which are designed to overlook the issue); I then suggest how moral stigmas are constructed; show how they are deployed in debates over public health issues, such as alcohol abuse and drug addiction; and briefly sketch an alternative approach to defining community and seeking public health.

Health Policy↗
PubMed1996

Minding morale of institutional markets.

The definition of the term SOCIAL LIFE FEELING is offered to denote or connote a sentiment about the social world or an affect-state that comes from socializing in that world. A review of the literature in SOCIOLOGY indicates that there is an abundance of predilection among sociologists in measuring and assessing How People Feel About Society and Their Place in Society. The selection of TWELVE SOCIAL LIFE FEELING SCALES developed by Karl F. Schuessler is based on their established reliability, their ease of use, and their embodiment in covering concepts pertaining to both a person's outlook on society (cynical, pessimistic, fatalistic) and his or her frame of mind in society (demoralized, estranged, alienated). The present report is based on SLFS11 or FEELINGS OF DEMORALIZATION in Urban and Rural settings. This scale gives the subjects an opportunity to express whether they are marking time, finding it difficult to be optimistic, surmising the world as too complicated, viewing their physical condition to be good, or taking pleasure in their achievements, and so and so forth. A random sample of 398 students drawn from an urban and a rural campus was personally administered a questionnaire included in Appendix A. The data so obtained were subjected to statistical analyses through MINITAB software. High scores present a view of self as useless, helpless, aimless; low scores on the other hand, rules out such an admission of self as useless. It appears that this scale comes closest to approximating the concept of morale and its denotation of demoralization and despair. Persons of high morale have high hopes and great expectations and intend to persevere. Persons of low morale have little hope in their efforts being counted and would presumably stop trying. It is important to note that the items in this scale have principally determined the morale of older people. In this study we have attempted to find its utility in investigating undergraduate students representing the backbone of the American Society. From an empiricist's perspective, the MEAN scores for intergroup comparisons ANALYSIS OF VARIANCE for intragroup comparisons have been provided. Marketing implications of and the strategy development for the findings have been advanced.

Adult↗
PubMed1993

The morality of homosexuality.

Homosexuality has been considered a form of mental illness, morally wrong and socially deviant. The purpose of this paper is to present both sides of the homosexuality issue from a religious standpoint: opponents of homosexuality versus supporters of homosexuality. It is proposed that how one interprets the morality of homosexuality will depend upon one's level of moral development according to Kohlberg's theory. Ten churches in the Raleigh area of North Carolina completed a questionnaire designed to ascertain the church's position on the issue of homosexuality. Specifically, questions were asked to ascertain the church's level of moral development.

Adult↗
PubMed1994

In the light of the splendor: Veritatis Splendor and moral theology.

In the last 25 years, Roman Catholic moral theology has debated issues ranging from the sources of moral theology to the role of ecclesiastical authority in moral theology. In 1993, Pope John Paul II issued his encyclical letter Veritatis Splendor, which addresses issues in fundamental moral theology. The encyclical must be understood against the background of ongoing debates since Pope Paul VI's 1968 encyclical on birth control (Humanae Vitae). It is not clear what the impact of Veritatis Splendor will be. However, it seems safe to say that it will be deployed in debates about issues such as birth control, artificial reproduction, sterilization, and abortion.

Abortion, Induced↗
PubMed2000

The plurality of Chinese and American medical moralities: toward an interpretive cross-cultural bioethics.

Since the late 1970s, American appraisals of Chinese medical ethics and Chinese responses to American bioethics range from frank criticism to warm appreciation, from refutation to acceptance. Yet in the United States as well as in China, American bioethics and Chinese medical ethics have been seen, respectively, as individualistic and communitarian. In this widely-accepted general comparison, the great variation in the two medical moralities, especially the diversity of Chinese experiences, has been unfortunately minimized, if not totally ignored. Neither American bioethics nor Chinese medical ethics is a field with only one dominant way of thinking. Medical moralities in America and China -- traditional and modern -- have always been plural and diverse. For example, American and Chinese cultures and medical moralities both exhibit individualistic and communitarian traditions. For this reason, bioethics in general and cross-cultural bioethics in particular must be fundamentally interpretive. Interpretive cross-cultural bioethics appreciates the plurality of medical morality within any culture. It can serve as a vital means of social and cultural criticism through engaged interpretations.

Attitude↗
PubMed2002

Theory skepticism and moral dilemmas.

Moral-theory skepticism is not an option in any sort of thinking that could actually be used in resolving dilemmas in applied ethics, since its characteristic doctrines entail positions that in practice often will lead to a kind of paralysis in in moral reasoning, where persons faced with having to decide what to do in particularly difficulty cases are unable to rule out the most implausible conclusions. Moral-theory skepticism thus makes it difficult to formulate decision-making procedures that will provide guidance in action, and, so, seems not to succeed as a fully coherent account of moral reasoning.

Child↗
PubMed2003

Common morality, coherence, and the principles of biomedical ethics.

The fifth edition of Beauchamp and Childress's Principles of Biomedical Ethics is distinguished by its emphatic embrace of common morality as the ultimate source of moral norms. This essay critically evaluates the fifth edition's discussion of common morality and, to a lesser extent, its treatment of coherence (both the model of ethical justification and the associated concept). It is argued that the book is overly accommodating of existing moral beliefs. The paper concludes with three suggestions for improving this leading text.

Beneficence↗
PubMed2005

Medicine and the call for a moral epistemology.

For over a century, medicine has prided itself on its scientific orientation and technological accomplishments. But a conceptual crack lies at the foundation of contemporary medicine, one that may be characterized as a conflict between medicine's scientific epistemology and its moral philosophy. Moral refers to value, and more specifically in the clinical setting, to how facts must be ordered by the values attached to them. A "moral epistemology" seeks to bring these two domains into closer proximity. Clinical facts always reside in a complex array of systems that confer specific and often unique meanings to any finding. An integration of unsteady norms and the intuitive inference arising from the individuality of disease expression require that judgments order facts into their proper placement. And beyond this relaxed view of objectivity, clinical care must also incorporate judgments arising from the patient's (as well as the physician's) social and psychological realms that are removed from scientific concerns. Together, these various kinds of value judgments erect the scaffold of clinical care, in which a more complex moral epistemology emerges. A comprehensive biopsychosocial model of illness and its treatment articulates this integrated orientation, but until medicine embraces a philosophy that legitimates the full integration of facts and values, the appeal of such an approach will remain limited and its application ineffective.

Decision Making↗
PubMed1999

The Dolly case, the Polly drug, and the morality of human cloning.

The year 1996 witnessed the cloning of the lamb Dolly, based on the revolutionary somatic cell nuclear transfer (SCNT) technique, developed by researchers from the Roslin Institute in Edinburgh, Scotland. This fact marked a relevant biotechnoscientific innovation, with probable significant consequences in the field of public health, since in principle it allows for expanding possibilities for the reproductive autonomy of infertile couples and carriers of diseases of mitochondrial origin. This article expounds on 1) the experiment's technical data and the theoretical implications for the biological sciences; 2) the public's perception thereof and the main international documents aimed at the legal and moral regulation of the technique; and 3) the moral arguments for and against cloning, from the point of view of consequentialist moral theory. We conclude that in the current stage of the debate on the morality of cloning, in which there are no cogent deontological arguments either for or against, weighing the probability of risks and benefits is the only reasonable way of dealing with the issue in societies that consider themselves democratic, pluralistic, and tolerant.

Animals↗
PubMed1988

Age, education, and sex effects on adult moral reasoning.

The role of age and education in adult moral reasoning was examined utilizing Kohlberg's cognitive-developmental stage theory of moral development and the most recent Standard Scoring System for assessing moral judgments. Individual interviews utilizing standard Kohlberg moral dilemmas were conducted with 195 adults ranging in age from nineteen to eight-two years and in years of education from three to twenty-five years. Results indicated no overall significant effect for age of reasoner, no significant effect for sex, and a significant effect for education (p less than .01). However, the effect of age was significant in the group with eighteen or more years of education, but not in the group with less than eighteen years of education.

Adult↗
PubMed1975

Moral development and perceptual role-taking egocentrism: their development and interrelationship across the life-span.

Moral judgments and perceptual role taking egocentrism were assessed in seventy-two middle-class people whose age range encompassed a significant portion of the life span. Findings support the anticipated curvilinear relationship between moral development and age, and egocentrism and age. However, the close conceptual development and age, and egocentrism and age. However, the close conceptual relationship between moral development and egocentrism throughout life received only slight statistical support, which attained significance only in the fifteen- to nineteen-year-old age group. The existence of "self-involving" egocentrism was postulated to be an important determinant or moral development during adulthood.

Adolescent↗
PubMedDate not supplied

Is reminiscence adaptive? Relations among social activity level, reminiscence, and morale.

Although it is widely believed that reminiscence is adaptive during later life, research on the psychological benefits of reviewing the past has yielded inconsistent findings. In the present study, forty women between the ages of sixty-four and eighty-eight whose reminiscences had been elicited through a structured interview provided information regarding both their morale and level of social activity. The pattern of interrelations among measures of reminiscence, morale, and activity level do not support prevailing views of the adaptive significance of reminiscence. Specifically, reminiscence was not found to be positively related to morale or negatively related to activity level, nor was it found to mediate between activity level and morale. In general, the findings indicate that recalling the past is a correlate of, rather than a substitute for, social activity.

Adaptation, Psychological↗
PubMed2006

Age and education in moral judgment of participants in team sports.

The present aim was to investigate the effect of age and education on the moral reasoning of the same 535 individuals in sports for whom nature of sport experience was reported. All 535 participants (M age = 24.9 yr., SD = 8.3) were involved in sports at the time of the study as athletes (n = 342), referees (n = 145), or coaches (n = 48), and had a wide range of education. Analysis of variance of scores on the Defining Issues Test of Rest showed moral judgment in sports differs significantly amongst different age groups (F5.510 = 5.37, p < .001) and amounts of education (F4.511 = 6.24, p < .001). Generally, with more education, higher moral judgment can be expected. It is apparent that moral development in sport is related to age and education, as also holds for a wider social setting.

Adolescent↗
PubMed2002

Response to moral choices as a function of self-esteem.

This study investigated the relationship between self-reported self-esteem and academic moral choice by 162 middle school students enrolled in Grades 6, 7, and 8 of public institutions. They were presented nine moral situations (five are school-related) and the Coopersmith Self-esteem Inventory (School Form). Analysis indicated that four of the five school-related moral situations were statistically significantly related to scores of self-esteem. Students reporting higher self-esteem were more likely to make a moral choice in a given academic situation. It is recommended that support of academic honesty can be encouraged by increasing youth self-esteem.

Choice Behavior↗