Respecting moral diversity

moral diversity

Facing the death of other people, we are confronted with our deepest convictions of what makes sense and what does not. 

A mother of four should not die of breast cancer in her mid 40s, for this runs contrary to whatever possible order of justice in the world. A beloved father in a vegetative state should not die a horrible death when feedings tubes are withdrawn. Even when he had always stated that he would not have wanted to live in this condition. 

In most people, witnessing someone dying, evokes a multitude of emotions and thoughts, ranging from feelings of guilt or responsibility to sadness, anger or sometimes even joy. Emotions are important human reactions to situations, containing knowledge and appraisals of reality, and having an intelligence of their own.

Carlo Leget discusses in an editorial in the journal Palliative Medicine the importance of understanding and respecting emotions of family members of dying patients. It, for example, mentions the importance of culture in ethical issues, and how difficult it can be to respect cultural diversity, especially when it touches upon our deepest felt emotions and convictions. ​

“Ethics is a cultural product based on a shared legacy and lived experience reflected in a particular language, history, and traditions. “

Ethics, emotions and culture: Respecting moral diversity

The experience of being involved in the dying process of another person has an impact on almost every human being. Whether this involvement is that of a professional care giver, a relative or a volunteer seems of secondary importance.

The direct confrontation with a dying process is an experience that confronts us with the finitude and irreversibility of human existence. In most people, this evokes a multitude of emotions and thoughts, ranging from feelings of guilt or responsibility to sadness, anger or sometimes even joy.

Emotions are important human reactions to situations, containing knowledge and appraisals of reality, and having an intelligence of their own.

Read more »

  • Leget, C. (2018). Ethics, emotions and culture: Respecting moral diversity. Palliative Medicine, 32(7), 1145–1146. Doi: 10.1177/0269216318777905

Featured article: The sensible health care professional

sensible health care

Recently, two Dutch and one Belgium care ethicist published a paper on “The sensible health care professional: a care ethical perspective on the role of caregivers in emotionally turbulent practices” in Medicine, Health Care and Philosophy.

Are you working in the field of care ethics and would you like your paper to be in the spotlight? Please let us know!

Abstract

Vivianne Baur, Inge van Nistelrooij and Linus Vanlaere discuss the challenging context that health care professionals are confronted with, and the impact of this context on their emotional experiences.

Care ethics considers emotions as a valuable source of knowledge for good care. Thinking with care ethical theory and looking through a care ethical lens at a practical case example, the authors discern reflective questions that

  1. shed light on a care ethical approach toward the role of emotions in care practices, and
  2. may be used by practitioners and facilitators for care ethical reflection on similar cases, in the particular and concrete context where issues around emotional experiences arise.

The authors emphasize the importance of allowing emotions to exist, to acknowledge them and to not repress them, so that they can serve as a vehicle for ethical behavior in care practices. They stress the difference between acknowledging emotions and expressing them limitlessly.

Formational practices and transformational research practices are being proposed to create moral space in care institutions and to support health care professionals to approach the emotionally turbulent practices they encounter in a way that contributes to good care for all those involved.

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