Suchergebnisse

"Because the discipline of medical ethics has developed with autonomy as its foundation, the field has ignored pediatric ethics. The book is resoundingly successful in its effort to rectify this problem.... [A] pleasure to read." -- Eric D. Kodish, M.D., Director, Rainbow Center for Pediatric Ethics, Case Western Reserve UniversityUsing a form of medical ethnography to investigate a variety of pediatric contexts, Richard B. Miller tests the fit of different ethical approaches in various medical settings t

This article examines three arguments according to which the Iraq war has been justified: preemptive or preventive self-defense, law enforcement, and humanitarian rescue. It concludes that for empirical and moral reasons, the Iraq war lacks a just cause. In the course of making that judgment, the article explores moral and practical implications of a preventive war policy. It also examines efforts to invoke one justification—rescue—retrospectively to justify the war. The article claims that such ex post justifications confuse the meaning of intention and, wittingly or unwittingly, allow leaders to authorize a resort to force in bad faith. Retrospective justifications also fail to understand that different burdens are attached to ad bellum rationales. That claim is premised on the idea that self-defensive wars join duty and interest in ways that wars of rescue do not. To assume that arguments can shift from self-defense to rescue, without recognizing that these entail different kinds of sacrifice, is to discount the respect due to those whose sacrifice is required. If altruistic policies are expected to be carried out by soldiers, stronger reasons than self-defensive purposes are necessary to justify the risks, reasons that avoid the allegation of leading in bad faith.

Abstract: Based on attachment theory, Emotionally Focused Therapy (EFT) theorizes that attachment styles influence marital quality. Although research supports this relationship among young couples, no research has examined attachment styles and marital quality in midlife marriages. We examined this issue using data from 429 married people between the ages of 40 and 50. Results indicated that insecure attachment styles were associated with marital quality, whereas secure attachment was not. These results suggest that EFT therapists can help midlife couples in distressed relationships move from insecure to secure attachment styles. However, the use of EFT to help these couples who have secure attachment styles is questioned.

Although research has established that depression in later life can negatively impact the quality of an individual's life, few studies have addressed the relationship between depression and marital process in aging couples. To understand how older couples' experience and describe depression and its impact on their marriage, 26 older couples were interviewed. Results from 10 couples where one partner was experiencing depression and 16 nondepressed couples revealed that the depressed couples reported greater difficulty communicating and problem solving during "down" times. The nondepressed spouse in these couples reported feelings of confusion and frustration, whereas the depressed partner felt isolated and misunderstood. Implications for practice and future research are discussed.