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- M. S. Bjorklund, RN, CS & PMHNP (2004). 'There but for the Grace of God': Moral Responsibility and Mental Illness. Nursing Philosophy 5 (3):188-200.
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Traditional views of grace assert that God owes us nothing. Grace is undeserved, supererogatory and free. In this paper I argue that while this is an accurate characterization of creating grace, it is not true of saving grace. We have no right to be created as spiritual beings whose true good is found in relationship with God. But once we exist as spiritual beings, God does owe us a genuine offer of the salvation that constitutes our highest fulfillment. Creating grace is undeserved. Saving grace is deserved (being based on our inherent worth and vital interests as spiritual beings) but unearned (it is not based on anything we have done).
I THEORIES OF RESPONSIBILITY This book is concerned with attitudes to people and
to what they do. In particular it concerns questions about when it is right ...
Introduction : the existence of mental illness -- The likeness argument -- The categorical argument -- Metaphor -- Two metaphors from physical medicine -- The metaphor of mental illness -- Attention deficit hyperactivity disorder, social construction, and metaphor -- Metaphors and models.
This article suggests that in the delicate balance between grace and freedom, the opposite of rejecting God’s grace is not acceptance of grace, but rather is non-rejection or the openness to God that is the human person’s obediential potency. Using the insights of Karl Rahner and David Coffey, this article goes on to explain efficacious grace and sufficient grace as the one self-communication of God in the modes of acceptance and rejection. To protect the human freedom, one must emphasize that human persons can reject God’s offer of self, but to protect the gratuity of grace, one must acknowledge that acceptance of God’s grace is always undergirded and empowered by that same grace. The mediating point between these two modes is human openness or obediential potency for grace. One does not have to accept God’s grace to be this openness, but rather one must simply not reject God’s offer of grace, hence the primary categories of human freedom are not rejection and acceptance, but rejection and non-rejection.
Conceiving mental disorder -- Disorder of mental disorder -- On being skeptical about mental disorder -- Seeking norms for mental disorder -- An original position -- Addiction and responsibility for self -- Reality lost and found -- Minding the missing me.
Rather than eliminate the terms "mental health and illness" because of the grave moral consequences of psychiatric labeling, conservative definitions are proposed and defended. Mental health is rational autonomy, and mental illness is the sustained loss of such. Key terms are explained, advantages are explored, and alternative concepts are criticized. The value and descriptive components of all such definitions are consciously acknowledged. Where rational autonomy is intact, mental hospitals and psychotherapists should not think of themselves as treating an illness. Instead, they are functioning as applied axiologists, moral educators, spiritual mentors, etc. They deal with what Szasz has called "personal, social, and ethical problems in living." But mental illness is real. CiteULike Connotea Del.icio.us What's this?
It is far too early to say what global impact the neurocognitive and neuropsychiatric sciences will have on our intuitions about moral responsibility. And it is far too early to say whether the notion of moral responsibility will survive this impact (and if so, in what form). But it is certainly worth starting to think about the local impact that these sciences can or should have on some of our distinctions and criteria. It might be possible to use some of the tools offered by these sciences in order to refine or revise some of the categories currently used, without – for the time being at least – worrying too much about the fate of the notion of moral responsibility. This is an area where a piecemeal approach might be more productive: only after an evaluation of many distinct cases and situations it will be possible to say something general about the current notion of moral responsibility.
In this article, we will focus on a single clinical case: a young man who has been convicted for assault on a neighbour and whose sentence was affected by a pre-existing diagnosis of mental illness. We will use this case, and an analysis of the similarities and differences between this case and other possible cases, in order to raise some (local but important) issues about the implications that discoveries in neuropsychology and neuropsychiatry can have for the way moral responsibility is attributed to agents and, more specifically, to agents with diagnoses of mental illnesses.
Discussion of M. S. Bjorklund , RN , CS & PMHNP, 'There but for the grace of God': moral responsibility and mental illness
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