Recovering the Moral Sense of Health Care From Academic Reification
If health care is founded on the moral sense, as we argued in our article in Analecta Husserliana XX, “The Moral Sense and Health Care” (Scudder and Bishop, 1986), why is the moral sense not more evident in oral and written treatments of health care? We will attempt to answer that question, begged by our previous article, in which we argued in two ways that health care has a moral foundation. First, we used phenomenological descriptions of illness, of medical care, and of the meaning of care done by others to show that health care logically rests on the moral sense of fostering the physical and psychological well-being of persons. Second, from our own phenomenological study of fulfillment in nursing, we showed that the moral sense was inherent in the actual practice of nursing and that although not usually present in the language of nursing, it was presupposed as its foundation. The issue we will address, focusing on nursing, is: if the moral sense is foundational for health care, why is the moral sense so often absent from articulations of health care practice?
Unable to display preview. Download preview PDF.
- Bishop, A. H. and Scudder, J. R. Jr. (1987). “Nursing Ethics in an Age of Controversy.” Advances in Nursing Science, 9, 34–43.Google Scholar
- Bishop, A. H. and Scudder, J. R. Jr. (1990). The Practical, Moral and Personal Sense of Nursing: A Phenomenological Philosophy of Practice. Albany, NY: State University of New York Press.Google Scholar
- Engelhardt, H. T. Jr. (1982). “Illnesses, Diseases, and Sicknesses.” In V. Kestenbaum (ed.), The Humanity of the III. (pp. 142–156 ). Knoxville: University of Tennessee Press.Google Scholar
- Gadamer, H. G. (1981). Reason in the Age of Science. (F. G. Lawrence, Trans.). Cambridge, MA: MIT Press. ( Original work published 1976 ).Google Scholar
- Husserl, E. (1911/1985). Phenomenology and the Crisis of Philosophy. (Q. Lauer, Trans.). New York: Harper and Row.Google Scholar
- Johnson, B. S. (1986). Psychiatric-Mental Health Nursing: Adaptation and Growth. Philadelphia: Lippincott.Google Scholar
- Maclntyre, A. (1984). After Virtue. ( 2nd ed. ). Notre Dame, IN: University of Notre Dame Press.Google Scholar
- Pellegrino, E. (1985). “The Caring Ethic.” In A. H. Bishop and J. R. Scudder, Jr. (eds.). Caring, Curing, Coping: Nurse, Physician, Patient Relationships (pp. 8–30). University of Alabama Press.Google Scholar
- Rawlinson, M. C. (1982). “Medicine’s Discourse and the Practice of Medicine.” In V. Kestenbaum (ed.), The Humanity of the 111 (pp. 65–85 ). Knoxville: University of Tennessee Press.Google Scholar
- Scudder, J. R. Jr. and Bishop, A. H. (1986). “The Moral Sense and Health Care.” In A-T. Tymieniecka (ed.), The Moral Sense in the Communal Significance of Life. Analecta Husserliana XX (pp. 125–158). Dordrecht: D. Reidel.Google Scholar
- Strasser, S. (1985). Understanding and Explanation: Basic Ideas Concerning the Humanity of the Human Sciences. Pittsburgh: Duquesne University.Google Scholar
- Tymieniecka, A-T. (1982). “The Moral Sense in the Foundations of the Social World.” In A-T. Tymieniecka (ed.), Analecta Husserliana Vol. XV. Dordrecht: D. Reidel.Google Scholar
- Tymieniecka, A-T. (ed.) (1986). The Moral Sense in the Communal Significance of Life. Analecta Husserliana, Vol. XX. Dordrecht: D. Reidel.Google Scholar