Key ethical challenges for healthcare workers arising from the COVID-19 pandemic are identified: isolation and social distancing, duty of care and fair access to treatment. The paper argues for a relational approach to ethics which includes solidarity, relational autonomy, duty, equity, trust and reciprocity as core values. The needs of the poor and socially disadvantaged are highlighted. Relational autonomy and solidarity are explored in relation to isolation and social distancing. Reciprocity is discussed with reference to healthcare workers’ duty of care (...) and its limits. Priority setting and access to treatment raise ethical issues of utility and equity. Difficult ethical dilemmas around triage, do not resuscitate decisions, and withholding and withdrawing treatment are discussed in the light of recently published guidelines. The paper concludes with the hope for a wider discussion of relational ethics and a glimpse of a future after the pandemic has subsided. (shrink)

Normal adults recall poorly social feedback that refers to them, is negative, and pertains to core self-aspects. This phenomenon, dubbed the mnemic neglect effect, is equivalent to inhibitory repression. It is instigated under conditions of high self-threat, it implicates not-thinking during encoding, and it involves memories that are recoverable with such techniques as recognition accuracy.

A welcome addition to the “Facing Death Series” makes an important contribution to palliative care ethics. The contributors, from seven European countries, debate the tension created between viewing ethics as a way of giving answers to end of life issues and the practice and philosophy of palliative care contributing to the development of medical ethics—that is, ethics “in” and “of” palliative care.Philosophical discussion requires an historical perspective; the early part of the book addresses this by describing the work of the (...) “Pallium” project. This European collaboration of ethicists, clinicians, philosophers, and social scientists, explored and analysed conceptual and ethical and ethical issues in palliative care.The study describes the differing way in which palliative care …. (shrink)

In a fashion that might have surprised him, Wyclif s principles of interpretation anticipate and interact with the hermeneutical reflections of our own time.

Pinter’s play The Caretaker explores interpersonal tensions relating to terminal illness. This paper interrogates notions of care, suffering, ownership, dignity and the consequences of active intervention and inaction in two key sections of the play: Aston’s monologue concerning his own brutal treatment (active intervention) and Davies’s final rejection by the brothers who fail to provide accommodation and care (inaction). This interprofessional analysis combines theatrical and clinical perspectives to create insights which can enhance empathy improve decision-making in end of life care (...) and can inform the education of healthcare professionals. (shrink)