Cover

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Title Page, Copyright, Dedication

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Contents

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pp. vii-viii

Contributors

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pp. ix-x

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Acknowledgments

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pp. xi-xii

The production of this volume was supported by a University of Iowa Arts and Humanities Initiative grant and a College of Liberal Arts Semester Assignment award. Much of my work was completed at the University of Iowa Obermann Center for Advanced Studies, ...

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Introduction

Diana Fritz Gates, Paul Lauritzen

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pp. xiii-xxxiv

As recently as 1992, Hilde Lindemann Nelson could accurately report that "bioethics has largely bypassed feminist insight" and that "the standard works [of bioethics] have neither corrected for medicine's male bias, nor adopted feminist methodologies" (Nelson 1992, 8). Since that time, however, feminist approaches have made their way into mainstream biomedical ethics. ...

Part I: Care, Justice, and Community

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1. Are Care and Justice Distinct Virtues?

John P. Reeder, Jr.

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pp. 3-40

The relation of justice and love is one of the enduring questions in Western thought, especially in Christian traditions. One thinks immediately of Reinhold Niebuhr, for example, who argued that justice pertains to conflicts of interest within "history," whereas love as the ultimate moral ideal can only be realized in the Kingdom of God "beyond history." ...

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2. Care and Justice as Moral Values for Nurses in an Era of Managed Care

Barbara Hilkert Andolsen

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pp. 41-68

Many nurses have eagerly embraced the ethics of care; they especially appreciate the way the ethics of care makes the activity of caring a practice central to human morality. For these nurses, the ethics of care seems to describe accurately the fundamental dynamic of their professional lives. In addition, for both its practitioners and the larger society, ...

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3. The Need for Integrating Care Ethics into Hospital Care: A Case Study

Christine E. Gudorf

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pp. 69-102

This case focuses on the interaction of doctors and hospital staff with my son, Victor, and his extended family during his five months in the intensive care unit (ICU) and ventilator units. Victor was admitted with Guillain-Barre Syndrome (G-B), which stopped all voluntary and involuntary movement, including lungs and heart, leaving only a quarter eye blink. ...

Part II: Care and Emotion

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4. The Emotions of Care in Health Care

Edward Collins Vacek

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pp. 105-140

The world of medicine is charged with grandeur and gore, with relief and regret, with triumph and tragedy. The world of medicine is propelled by noble aspirations and narcissistic ambitions, by curious minds and power-seeking preoccupations, by bored salary-seekers and compassionate do-gooders. The world of medicine, in short, is filled with emotion. ...

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5. The Psychology of Emotion and the Ethics of Care

Sidney Callahan

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pp. 141-161

The theory and practice of ethics have been transformed in recent decades. Twenty-five years ago I co-led bioethical workshops with a philosopher colleague who would hold up two flow charts displaying formulas for making ethical decisions. One chart laid out the steps in a decision tree to reach a deontological solution and the other demonstrated how ...

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6. Caring for Girls and Women Who Are Considering Abortion: Rethinking Informed Consent

Diana Fritz Cates

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pp. 162-204

It was an evening that I would carry with me for many years. When I arrived at Laura's, Judy was already there. The two of them had been sitting in the dimly lit living room, talking. The room seemed thick with apprehension, as if momentous words had already been spoken or were lying in wait, about to be spilled. ...

Part III: Care and Narrative

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7. God and an Ethic of Care: On Being Immanuel

Russell B. Connors, Jr., Chris A. France

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pp. 207-233

The waiting room of the pediatric oncology unit at the research center is far from warm and welcoming. Nevertheless, Brenda and James are glad to be there. The place is important because of what it represents for them: their continuing hope for their daughter Allison. ...

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8. Communities of Care, of Trust, and of Healing

Paul F. Camenisch

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pp. 234-269

News of a potentially serious threat to one's well-being, to one's life, even to one's self precipitates several more or less parallel series of events. Some of these events are quite predictable and their significance generally obvious. Others can be identified and understood only in retrospect, after the frenzied period of imminent threat has passed. ...

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9. Doubled in the Darkest Mirror: Practice and the Retold Narrative of the Jewish Burial Society

Laurie Zoloth

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pp. 270-296

Medicine is about the gesture of healing, and bioethics is about the moral witness, the embodied narrative, and the complex reasoning that surround this gesture. As ethicists and storytellers of medicine, we ordinarily structure the story around some optimistic possibility, and we end the story, the witness, and the reflection when the person who is the patient at the center of the narrative dies. ...

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10. AIDS in East Tennessee: Medicine and Morals as Local Activities

Ruth L. Smith

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pp. 297-324

Small local hospitals in the mountain counties of the Southern Appalachian highlands depend on doctors and interns who are willing to moonlight from the nearest regional medical center. In taking on extra work while an intern at the Johnson City Medical Center in northeastern Tennessee, Abraham Verghese gets to know Essie Vines, ...

Index

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pp. 325-331