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Facilitating Healthcare Ethics Research: Assessement of Moral Reasoning and Moral Orientation from a Single Interview

Published online by Cambridge University Press:  10 December 2009

Donnie J. Self
Affiliation:
Professor in the Departments of Humanities in Medicine, Philosophy, and Pediatrics, Texas A&M University College of Medicine, College Station, Texas
Joy D. Skeel
Affiliation:
Associate Professor in the Departments of Psychiatry and Medicine, Medical College of Ohio, Toledo

Extract

In recent years, the theoretical work of Gilligan in women's psychological development has led to the development of the concept of moral orientation or moral voice in contrast to the concept of moral reasoning or moral judgment developed by Kohlberg. These concepts have been of particular interest in gender studies, especially as applied to adolescence. These concepts of moral orientation and moral reasoning are being increasingly employed in healthcare ethics studies in a wide variety of settings. The recent work has included studies of physicians, nurses, dentists, veterinarians, social workers, teachers of medical ethics, and hospital ethics committees. However, the study of moral development in healthcare providers has been hampered because collecting the necessary data from healthcare workers has been labor intensive and extremely time consuming. More efficient methods are needed.

Type
Articles
Copyright
Copyright © Cambridge University Press 1992

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References

Notes

1. Gilligan, C.In a Different Voice: Psychological Theory and Women's Development. Cambridge, Massachusetts:Harvard University Press, 1982.Google Scholar

2. Colby, A, Kohlberg, L.The Measurement of Moral Judgment: Vol. I, Theoretical Foundations and Research Validation. New York: Cambridge University Press, 1987.Google Scholar

3. Sheehan, TJ, Husted, SDR, Candee, D, et al. Moral judgment as a predictor of clinical performance. Evaluation and the Health Professions 1980;3:393404.CrossRefGoogle Scholar

4. Crishom, P.Measuring moral judgment in nursing dilemmas. Nursing Research 1981;30:104–10.Google Scholar

5. Bebeau, MJ, Rest, JR, Yamoor, CM.Measuring dental students′ ethical sensitivity. Journal of Dental Education 1985;49:225–35.Google ScholarPubMed

6. Self, DJ, Safford, SK, Shelton, GC.Comparison of the general moral reasoning of small animal veterinarians vs. large animal veterinarians. The Journal of the American Veterinary Medical Association 1988;193:1509–12.Google ScholarPubMed

7. Self, DJ, Jecker, NS, Baldwin, DC Jr., et al. Moral orientations of justice and care among veterinarians entering veterinary practice. The Journal of the American Veterinary Medical Association 1991;199:569–73.Google ScholarPubMed

8. Dobrin, A.Ethical judgments of male and female social workers. Social Work 1989;34:451–5.Google Scholar

9. Self, DJ, Skeel, JD.A study of the foundations of ethical decision making of clinical medical ethicists. Theoretical Medicine 1991;12:117–27.CrossRefGoogle ScholarPubMed

10. Dugan, DO.Masculine and feminine voices: making ethical decisions in the care of the dying. The Journal of Medical Humanities and Bioethics 1987;8:129–40.CrossRefGoogle ScholarPubMed

11. Walker, L, de Vries, B, Trevethan, S.Moral stages and moral orientations in real-life and hypothetical dilemmas. Child Development 1987;58:842–58.CrossRefGoogle Scholar

12. Bebeau, M, Brabeck, M.Integrating care and justice issues in professional moral education: a gender perspective. The Journal of Moral Education 1987;16:189203.CrossRefGoogle Scholar

13. Self, DJ, Skeel, JD, Jecker, NS. The moral development of clinical medical ethicists: the influence of philosophical vs. theological education. Academic Medicine (submitted).Google Scholar

14. Snarey, JR.Cross-cultural universality of social-moral development: a critical review of kohlbergian research. Psychological Bulletin 1985;97:202–32.CrossRefGoogle ScholarPubMed

15. Kohlberg, L. Moral stages and moralization: the cognitive development approach.. In: Lickona, TMoral Development and Behavior: Theory, Research, and Social Issues.. New York: Holt, Rinehart and Winston, 1976:3153.Google Scholar

16. Self, DJ, Wolinsky, FD, Baldwin, DC Jr. The effect of teaching medical ethics on medical students′ moral reasoning. Academic Medicine 1989;64:772–6.CrossRefGoogle ScholarPubMed

17. Gilligan, C, Attanucci, J.Two moral orientations: gender differences and similarities. Merril-palmer Quarterly 1988;33:223–37.Google Scholar

18. Noddings, N.Caring: A Feminine Approach to Ethics and Moral Education. Los Angeles:University of California Press, 1984.Google Scholar

19. Rest, JR.Development in Judging Moral Issues. Minneapolis:University of Minnesota Press, 1979.Google Scholar

20. Gibbs, JC, Widaman, KF.Social Intelligence: Measuring the Development of Sociomoral Reflection. Englewood Cliffs, NJ:Prentice-Hall, 1982.Google Scholar

21. Kohlberg, L.Essays on Moral Development: Vol. II. The Psychology of Moral Development. New York:Harper and Row, 1984.Google Scholar

22. Lyons, N.Two perspectives: on self, relationships, and morality. Harvard Educational Review 1983;53:125–45.CrossRefGoogle Scholar

23. Gilligan, C, Johnston, D, Miller, B.Moral Voice, Adolescent Development, and Secondary Education: A Study at the Green River School. Cambridge, Massachusetts:Center for the Study of Gender, Education, and Human Development, Harvard University, Monograph #3, 1988.Google Scholar

24. Johnston, K. Adolescents′ solutions to dilemmas in fables: two moral orientations–two problem solving strategies. In: Gilligan, C, Ward, JV, Taylor, JM, eds. Mapping the Moral Domain. Cambridge, Massachusetts: Center for the Study of Gender, Education and Human Development, Harvard University, 1985:4971.Google Scholar

25. Colby, A, Kohlberg, L.The Measurement of Moral Judgment: Vol. II, Standard Issue Scoring Manual. New York:Cambridge University Press, 1987.Google Scholar

26. Brown, L, Argyris, D, Attanucci, J, et al. A Guide to Reading Narratives of Moral Conflict and Choice for Self and Moral Voice. Cambridge, Massachusetts:Center for the Study of Gender, Education, and Human Development, Harvard Graduate School of Education, Monograph #1, 1987.Google Scholar