Vulnerability: challenging bioethics
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
London and New York
Routledge, Taylor & Francis Group
2016
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Inhaltsverzeichnis Klappentext |
| Beschreibung: | Includes bibliographical references |
| Beschreibung: | xi, 252 Seiten |
| ISBN: | 9781138652668 9781138652675 |
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Datensatz im Suchindex
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VULNERABILITY
/ HAVE, H. TEN [AUTHOR]
: 2016
TABLE OF CONTENTS / INHALTSVERZEICHNIS
THE IDEA OF VULNERABILITY
GROWING INTEREST IN VULNERABILITY
VULNERABILITY IN THE CONTEXT OF HEALTH CARE AND BIOETHICS
THE BIOETHICAL DISCOURSE OF VULNERABILITY
WE ARE ALL VULNERABLE : PHILOSOPHICAL PERSPECTIVES ON VULNERABILITY
SOME OF US ARE MORE VULNERABLE : POLITICAL PERSPECTIVES ON VULNERABILITY
VULNERABILITY IS EVERYWHERE : GLOBALIZATION AND VULNERABILITY
THEORETICAL IMPLICATIONS OF VULNERABILITY
PRACTICAL APPLICATIONS OF VULNERABILITY
DIESES SCHRIFTSTUECK WURDE MASCHINELL ERZEUGT.
CONTENTS 1 The idea of vulnerability What is ‘vulnerability’? 3 Examples of vulnerability 4 Senior citizens 4 Homelessness 5 Vulnerable populations in research 7 Vulnerable countries 9 Three dimensions of vulnerability 11 Vulnerability and bioethics 13 Challenges to bioethics 16 2 Growing interest in vulnerability Vulnerability in the scholarly literature 20 Expanding vulnerability 23 Opposites of vulnerability 25 Security 25 Resilience 27 The use of vulnerability in ethics and bioethics 28 The attractiveness of vulnerability discourse 29 Conclusion 32 3 Vulnerability in the context of health care and bioethics The birth certificate of vulnerability 38 The background expert reports 40
vii! Contents The CIOMS Guidelines 43 The Declaration of Helsinki 48 The Universal Declaration on Bioethics and Human Rights 49 Controversial dimensions of vulnerability 51 Status 51 Content 52 Scope 53 Implications 54 An indispensable concept for bioethics 55 4 The bioethical discourse of vulnerability Vulnerability as bioethical notion 63 Bioethical framing of vulnerability 64 Prioritizing the principle of autonomy 65 Neutralizing the principle ofjustice 66 Diverging assessments of vulnerability 67 Need for vulnerability as critical concept 68 Vulnerability as heuristic tool 70 Conceptual progress 72 Basic types of vulnerability 72 Categorizing groups and populations 75 Implications of vulnerability 80 Reconciling different perspectives 84 61 5 We are all vulnerable: Philosophical perspectives on vulnerability 93 Pragmatic approaches of vulnerability 95 Understanding vulnerability: a peripheral approach 96 Variations on the same theme 97 Vulnerability as natural imperfection 97 Vulnerability as bodily corruption 98 Vulnerability as experience 99 Vulnerability as relatedness 100 Vulnerability as dependency 101 Vulnerability as being hostage 103 Anthropological rather than ontological vulnerability 105 Why is anthropological vulnerability important for bioethics? 108 Universahty 109 Passivity 110 Positivity 111
Vulnerability as ethical principle 113 Linking philosophical and pohtical perspectives 115 Conclusion 116 6 Some of us are more vulnerable: Pohtical perspectives on vulnerability Vulnerability exacerbated 125 Special vulnerability 126 Social ethics 127 Beyond individual agency and autonomy 128 Human interaction and cooperation 129 The social context of special vulnerability 130 The production of vulnerability 132 Structural violence 133 Inequality 133 Power 134 Exploitation 135 Injustice 136 Lack of freedom 136 Disrespect 137 Vulnerability 137 Exploitation and power differences 137 Structural exploitation 138 Exploitative arrangements 139 Social connectedness and pohtical responsibility 140 A global perspective 141 7 Vulnerability is everywhere: Globalization and vulnerability Vulnerability as a phenomenon of globalization 150 Globalism 150 Neoliberal claims 151 Global production of vulnerability 151 Existential insecurity 153 Social disintegration 154 Neutralizing vulnerability 155 The dimensions of globalism today 156 A different bioethics 159 Two faces of vulnerability 160 Conclusion 162
x Contents 8 Theoretical implications of vulnerability Human rights 168 Human rights and bioethics 169 Scope of human rights 170 Individual focus? 170 Social engagement? 171 The use of human rights 172 Social justice 172 The need for a justice perspective 173 The problems with social justice 174 Scope of social justice 174 Relevance of social justice 175 A broader concept ofjustice 176 Obligations 177 Responsibilities 177 Institution-building 178 Representation 178 The challenge of global justice 179 Capabilities 179 Capabilities and vulnerability 181 Vulnerability as limitation of capabilities 182 Structural capability constraints 183 The sociality of capabilities 184 Advantages of the capabilities approach 186 Challenges 186 Global care 188 The impact of globalization 188 Globalizing the discourse of care 189 Relatedness 189 Dependency 190 Responsibility 190 Cooperation and solidarity 191 Contextuality 191 Advantages and challenges 191 Society 192 International relations 192 Globalization policies 193 Global institutions 193 Conclusion 194 167
Contents xi 9 Practical applications of vulnerability The impact of vulnerability on bioethics 207 Global scope 207 Broader agenda 208 Critical focus on social context 209 Advocacy and activism 210 Promoting participation 211 Cooperation and sustaining networks 212 Vulnerability’s power of inspiration 213 Bibliography Index 207 217 245
Alongside globalization, the sense of vulnerability among people and populations has increased. We feel vulnerable to disease as new infections spread rapidly across the globe, while disasters and climate change make health increasingly precarious. Moreover, clinical trials of new drugs often exploit vulnerable populations in developing countries that otherwise have no access to healthcare, and new genetic technologies make people with disabilities vulnerable to discrimination. Therefore the concept of 'vulnerability' has contributed new ideas to the debates about the ethical dimensions of medicine and healthcare. This book explains and elaborates the new concept of vulnerability in today's bioethics. Firstly, Henk ten Have argues that vulnerability cannot be fully understood within the framework of individual autonomy that dominates mainstream bioethics today: it is often not the individual person who is vulnerable, rather that his or her vulnerability is created through the social and economic conditions in which he or she lives. Contending that the language of vulnerability offers perspectives beyond the traditional autonomy model, this book offers a new approach which will enable bioethics to evolve into a global enterprise. This groundbreaking book critically analyses the concept of vulnerability as a global phenomenon. It will appeal to scholars and students of ethics, bioethics, globalization, healthcare, medical science, medical research, culture, law, and politics. |
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| title | Vulnerability challenging bioethics |
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| title_full | Vulnerability challenging bioethics Henk ten Have |
| title_fullStr | Vulnerability challenging bioethics Henk ten Have |
| title_full_unstemmed | Vulnerability challenging bioethics Henk ten Have |
| title_short | Vulnerability |
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