ABSTRACT In contemporary American medical practice, certain physicians are critical and wary of the current emphasis on patient autonomy in medicine, questioning whether it really serves the complex needs of severely ill patients. Physicians such as Eric Cassell and Thomas Duffy argue that the duty of beneficence should override the duty to respect autonomy when conflicts arise in clinical situations. After evaluating their claim that severe illness robs patients of their autonomy, I will argue that this perceived conflict between beneficence (...) and autonomy is ill‐conceived, resting on misperceptions about both the capacity for autonomy and the meaning of hope. Considering insights on hope from phenomenologist Gabriel Marcel and theologian William Lynch, as well as drawing upon a case study involving a bone marrow patient, I claim that respecting and nurturing patients’ capacity for autonomy is a necessary condition for acting beneficently and fostering authentic hope. (shrink)

Challenges of interpersonal harm for a theology of freedom and grace -- Karl Rahner's theological anthropology -- The role of freedom and grace in the construction of the human self -- The vulnerable self and loss of agency -- Trauma theory and the challenge to a Rahnerian theology of freedom and grace -- The fragmented self and constrained agency -- Feminist theories as correctives to a Rahnerian anthropology -- Response to the challenge -- Rahner's theology revisited -- Ethical directions -- (...) Implications of a revised theology of freedom and grace. (shrink)

If Christian ethics is to have an authentic connection to Jesus Christ, it is crucial to establish pedagogical objectives and best practices that are transformative. In this article, I examine how integrating Christian sexual ethics with Ignatian spirituality has fostered many students’ holistic growth and commitment to justice.

A major oversight in Catholicism’s clergy abuse crisis is its failure to examine how assumptions about children and norms concerning adult-children interactions contributed to child sexual abuse and bishops’ systematic cover-up. An adequate response must include new practices based on a revised child-centered account of what constitutes justice for children. In this paper, I develop an account of justice drawing on four sources: 1) Margaret Farley’s account of justice; 2) research findings from my ethnographic study observing and interviewing Catholic second (...) graders about receiving the Sacrament of Reconciliation; 3) the interdisciplinary field of childhood studies; and 4) the Catholic tradition. (shrink)

Christians have traditionally claimed a kind of invulnerability to harm that would render them incapable of responding to God's grace. This claim to invulnerability will be examined in light of trauma theory's insistence that, in situations of overwhelming violence, a person's capacity for responsive agency can be severely disabled. Drawing from incest survivors' experiences of recovery, I argue that a critical re-examination of the human capacity to receive God's grace must include greater appreciation for how God's love is mediated, at (...) least in part, through loving interpersonal relations. Ethical implications resulting from this insight should challenge our communities in profound ways. (shrink)

What happens at college parties? Why do students dress and behave the way they do? Who has power, and what kind? And are college students happy overall with party and hookup culture? In response to undergraduates' skepticism of researchers' accounts of hookup culture, the author engaged 126 college students as ethnographers to observe and analyze this complex social reality at parties.

How are Christians to understand God’s grace for individuals in the midst of severe trauma, particularly in light of a global epidemic of sexual violence against so many women and children? How does the call to witness to the good news of Christ’s love translate into specific obligations that respond to the needs of sexual abuse survivors? The purpose of this article is to explore these questions in the context of Karl Rahner’s theology of grace. When seeking to understand God’s (...) gracious presence in the midst of sexual violation, it is particularly helpful to explore Rahner’s insight that God’s grace is mediated through acts of neighbour-love both within and beyond Christian communities. Such insight into the social mediation of grace has exciting potential to transform perceptions of what is at stake in loving our neighbour and the forms that neighbour-love can take, mobilising Christians for greater social justice in the service of God. (shrink)