Jaded: Institutional oppression and moral damage in healthcare Rentmeester, Christy A.
ISBN: 0542082713
Summary:
This dissertation combines healthcare ethics, metaethics, moral
psychology, moral epistemology, and social and political philosophy
with an emphasis on professionalism in healthcare. In it, I explore
the question When it is said that someone is "jaded," what does this
mean morally? I focus in particular on how becoming jaded can affect
healthcare professionals, and I argue that jading is a moral problem
in the context of healthcare for two reasons. First, professionals
who care for society's most vulnerable members get morally damaged
when they get jaded. Second, this moral damage can affect patient
care and collegiality among professionals for two reasons: jaded
professionals' conceptions of what they're responsible for narrows
and jaded professionals narrow the scope of moral particulars of
situations they see as reasons to act in the service of others. I
characterize jading as a concept that best describes a process of
moral motivational erosion. I argue that an internalist, cognitivist
theory of moral motivation best accommodates the idea that moral
motivation is not an "all-or-none" phenomenon but one which admits of
degrees, and also best accommodates the central role moral perception
plays in healthcare professionals' abilities to be morally responsive
to patients and colleagues. I then apply this theory to describe
forms of moral damage (loss of self-respect, alienation, and
callousness) healthcare professionals suffer when they work in
conditions of institutional oppression. I suggest that resolving the
problem of jading requires ameliorating conditions of oppression in
healthcare education and in the healthcare workplace.
Notes:
Adviser: Hilde Lindemann.
Source: Dissertation Abstracts International, Volume: 66-04, Section:
A, page: 1379.
Thesis (Ph.D.)--Michigan State University, 2005.
Electronic reproduction.Ann Arbor, MI: ProQuest Information and
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