Clinician Moral Distress: Toward an Ethics of Agent‐Regret

Hastings Center Report 53 (6):40-53 (2023)
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Moral distress names a widely discussed and concerning clinician experience. Yet the precise nature of the distress and the appropriate practical response to it remain unclear. Clinicians speak of their moral distress in terms of guilt, regret, anger, or other distressing emotions, and they often invoke them interchangeably. But these emotions are distinct, and they are not all equally fitting in the same circumstances. This indicates a problematic ambiguity in the moral distress concept that obscures its distinctiveness, its relevant circumstances, and how individual clinicians and the medical community should practically respond to it. We argue that, in a range of situations that are said to be morally distressing, the characteristic emotion can be well‐understood in terms of what Bernard Williams calls “agent‐regret.” We show what can thereby be gained in terms of a less ambiguous concept and a more adequate ethical response to this distinctive and complex clinician experience.



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References found in this work

The Language Animal: The Full Shape of the Human Linguistic Capacity.Charles Taylor - 2016 - Cambridge, Massachusetts: Harvard University Press.
Moral Luck.B. A. O. Williams & T. Nagel - 1976 - Aristotelian Society Supplementary Volume 50 (1):115-152.
Moral Luck.B. A. O. Williams & T. Nagel - 1976 - Aristotelian Society Supplementary Volume 50:115 - 151.
Moral Luck.B. A. O. Williams & T. Nagel - 1976 - Aristotelian Society Supplementary Volume 50 (1):115-152.
Moral Distress: What Are We Measuring?Laura Kolbe & Inmaculada de Melo-Martin - 2022 - American Journal of Bioethics 23 (4):46-58.

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