•  1638
    Moral distress in nursing practice in Malawi
    with V. M. Maluwa, P. Ndebele, and E. Chilemba
    Nursing Ethics 19 (2): 196-207. 2012.
    The aim of this study was to explore the existence of moral distress among nurses in Lilongwe District of Malawi. Qualitative research was conducted in selected health institutions of Lilongwe District in Malawi to assess knowledge and causes of moral distress among nurses and coping mechanisms and sources of support that are used by morally distressed nurses. Data were collected from a purposive sample of 20 nurses through in-depth interviews using a semi-structured interview guide. Thematic an…Read more
  •  770
    On being genetically "irresponsible"
    Kennedy Institute of Ethics Journal 10 (2): 129-146. 2000.
    : New genetic technologies continue to emerge that allow us to control the genetic endowment of future children. Increasingly the claim is made that it is morally "irresponsible" for parents to fail to use such technologies when they know their possible children are at risk for a serious genetic disorder. We believe such charges are often unwarranted. Our goal in this article is to offer a careful conceptual analysis of the language of irresponsibility in an effort to encourage more care in its …Read more
  •  580
    Business Ethics and medical ethics are in principle compatible: In particular, the tools of business ethics can be useful to those doing healthcare ethics. Health care could be conducted as a business and maintain its moral core.
  •  540
    Improving our aim
    Journal of Medicine and Philosophy 24 (2). 1999.
    Bioethicists appearing in the media have been accused of "shooting from the hip" (Rachels, 1991). The criticism is sometimes justified. We identify some reasons our interactions with the press can have bad results and suggest remedies. In particular we describe a target (fostering better public dialogue), obstacles to hitting the target (such as intrinsic and accidental defects in our knowledge) and suggest some practical ways to surmont those obstacles (including seeking out ways to write or sp…Read more
  •  461
    Moral Distress in Healthcare
    Bioethics Forum 18 (1-2): 44-46. 2002.
    Moral distress is the sense that one must do, or cooperate in, what is wrong. It is paradigmatically faced by nurses, but it is almost a universal occupational hazard.
  •  408
    Respecting Diversity, Respecting Complexity
    Law Review of Michigan State University-Detroit College of Law 2002 (4): 911-916. 2002.
    A discussion of the ethics of stem cell research, and attempts to regulate it.
  •  345
    Elderhood—or old age, if one prefers—is a stage of life without much cultural meaning. It is generally viewed simply as a time of regrettable decline. Paying more attention to it, to its special pleasures and developmental achievements, will be helpful not only to elders but to those younger as well. I will argue that three existential tasks are central in elderhood, but also important at every other stage of adult life. I identify three: cherishing the present, accepting the past, and investing…Read more
  •  294
    A Larger Space for Moral Reflection
    Ethical Currents (53): 6-8. 1998.
    Margaret Urban Walker argues that hospital ethics committees should think of their task as "keeping moral space open." I develop her suggestion with analogies: Enlarge the windows (i.e., expand what counts as an ethical issue); add rooms and doors (i.e., choose particular issues to engage). Examples include confidentiality defined as information flow, and moral distress in the healthcare workplace.
  •  286
    Remember the Nurses
    Apa Newsletter on Feminism and Philosophy 5 (2): 19-21. 2006.
    As feminist theory explicates its fundamental principles – justice for the oppressed – it can lose its essential focus on the situation of women. One example is the inattention to nurses within feminist bioethics. Nurses deserve attention because most are women, but also because their lack of power is paradigmatic of patriarchy. Those examining ethics consultations should discuss whether nurses are allowed to request them. But feminists also need to imagine ways in which nurses can be heard wh…Read more
  •  283
    Poole on obscenity and censorship
    Ethics 94 (3): 496-500. 1984.
    HOWARD POOLE ARGUES THAT "THERE IS A RATIONAL NECESSITY LINKING NEGATIVE ATTITUDES TO PORNOGRAPHY WITH A READINESS TO IMPOSE CENSORSHIP." HIS ARGUMENT HAS THREE PREMISES: FIRST, THAT TO CALL SOMETHING OBSCENE IS TO EXPRESS STRONG BUT OFTEN NONMORAL DISAPPROVAL; SECOND, THAT THIS STRONG DISAPPROVAL COMMITS ONE TO SEEK LEGISLATION KEEPING THE MATERIAL FROM CHILDREN; THIRD, THAT SUCH LEGISLATION IS A FORM OF CENSORSHIP. I QUESTION EACH PREMISE.
  •  136
  •  122
    Open Hope as a Civic Virtue
    Social Philosophy Today 29 89-100. 2013.
    Hope as a virtue is an acquired disposition, shaped by reflection; as a civic virtue it must serve the good of the community. Ernst Bloch and Lord Buddha offer help in constructing such a virtue. Using a taxonomy developed by Darren Webb I distinguish open hope from goal-oriented hope, and use each thinker to develop the former. Bloch and Buddha are very different (and notoriously obscure; I do not attempt an exegesis). But they share a metaphysics of change, foundational for making any sense of…Read more
  •  118
    Power, Oppression and Gender
    Social Theory and Practice 11 (1): 107-122. 1985.
  •  91
    Role Morality as a Complex Instance of Ordinary Morality
    American Philosophical Quarterly 28 (1). 1991.
  •  85
    The Good Wife and Philosophy
    Open Court Publishing. 2013.
    Fifteen philosophers look at the deeper issues raised in the highly popular TV drama, including common morality, legal correctness and legal ethics, discussing the gray areas of legal battles and maneuvering. Original.
  •  85
    The Demands of Deontology Are Not So Paradoxical
    Journal of Philosophical Research 16 407-410. 1991.
    The “paradox of deontology” depends partly upon ignoring the special responsibility each person has for her own actions, and partly upon ignoring the essential differences between refraining from X and persuading another to refrain. But only in part; the paradoxical situations schematized by Shaw can occasionally occur. When they do, his pragmatic defense of deontology is sound.
  •  79
    My Client, My Enemy
    Professional Ethics, a Multidisciplinary Journal 3 (3): 27-46. 1994.
  •  73
    Caring; A Feminine Approach To Ethics and Moral Education (review)
    Teaching Philosophy 9 (1): 89-90. 1986.
  •  71
    Privacy as a value and as a right
    Journal of Value Inquiry 20 (4): 309-317. 1986.
    Knowledge of others, then, has value; so does immunity from being known. The ability to extend one's knowledge has value; so does the ability to limit other's knowledge of oneself. I have claimed that no interest can count as a right unless it clearly outweighs opposing interests whose presence is logically entailed. I see no way to establish that my interest in not being known, simply as such, outweighs your desire to know about me. I acknowledge the intuitive attractiveness of such a position;…Read more
  •  61
    The Ways of Peace (review)
    Teaching Philosophy 10 (2): 173-174. 1987.
  •  60
    Femininity," "Masculinity," and "Androgyny (review)
    Teaching Philosophy 7 (2): 156-157. 1984.
  •  57
    Beyond Moral Reasoning
    Teaching Philosophy 14 (4): 359-373. 1991.
  •  47
    Rights, Killing, and Suffering (review)
    Philosophical Studies (Dublin) 31 521-522. 1986.
  •  45
    The Equal Moral Weight of Self- and Other-Regarding Acts
    Canadian Journal of Philosophy 17 (1): 155-165. 1987.
    Self-regarding acts are frequently classified as non-moral; even more frequently, they are assumed to have less moral weight than parallel other-regarding acts. I argue briefly against the first claim, and at greater length against the second. Our intuitions about the lesser moral weight of self-regarding acts arise from imperfectly recognized, and morally relevant, differences between acts which are ordinarily described in misleadingly parallel phrases. ‘Love of self,’ for instance, and ‘love o…Read more
  •  38
    Learning to see: moral growth during medical training
    Journal of Medical Ethics 18 (3): 148-152. 1992.
    During medical training students and residents reconstruct their view of the world. Patients become bodies; both the faults and the virtues of the medical profession become exaggerated. This reconstruction has moral relevance: it is in part a moral blindness. The pain of medical training, together with its narrowness, contributes substantially to these faulty reconstructions. Possible improvements include teaching more social science, selecting chief residents and faculty for their attitudes, he…Read more
  •  36
    Beast and Man
    Philosophical Studies (Dublin) 30 257-262. 1984.
  •  30
    Bodies for Sale (review)
    Hastings Center Report 28 (2): 42. 1998.