“…For me, primarily a philosopher, this phrase sums up perfectly what empirical bioethics is about. It is about philosophers 'getting their hands dirty', getting out of their Platonic ivory tower, and acknowledging that ethics is about people, not just good arguments [15]. It is about having 'encounters with experience', and using those encounters to inform one's philosophy.…”
“…For me, primarily a philosopher, this phrase sums up perfectly what empirical bioethics is about. It is about philosophers 'getting their hands dirty', getting out of their Platonic ivory tower, and acknowledging that ethics is about people, not just good arguments [15]. It is about having 'encounters with experience', and using those encounters to inform one's philosophy.…”
“…This is of course complex and contested ground. There is a sophisticated line of criticism for example within Disability Studies which disputes the medical model implied by the brief account of the quality of life given here [19]. However I raise these issues only to establish the plausibility that judgements concerning best interests are directly and indirectly related to axiological theories.…”
This paper argues that the concept of best interests in the context of clinical decisions draws on concepts rooted in the philosophical discipline of axiology. Reflection on the philosophical origins enables a distinction to be drawn between those interests related to clinical goals and those global interests that are axiological in nature. The implication of this distinction is most clearly seen in the context of end of life decisions and it is argued here that greater weight ought to be given to the positive requests, and not merely competent refusals, of patients at the end of life.
“…Shakespeare [11] argues that the constant devaluing of people with disabilities and their bodies results in low levels of self-esteem and an avoidance of sexual expression. The fact that people with disabilities are excluded from a great deal of social interaction through practices of segregation or inaccessibility means that their chances of learning more about sexuality and finding sexual partners are reduced [12].…”
Section: Sexuality Of People With Disabilitiesmentioning
confidence: 99%
“…They find themselves isolated from their peers and tend to spend more time with younger children or with adults [8,11]. They are up to 2-3 times more likely than children without disabilities to experience sexual abuse [8].…”
Section: Children With Disabilities In South Africamentioning
This paper recognizes that sexuality is shaped during childhood and that prevailing views on disability and the proper conduct of sexual relations within society are critical in forming the sexuality of people with disabilities. This paper reports on a research project carried out in the Eastern Cape Province of South Africa that examines the viewpoints of two communities on disability in childhood and its implications for sexuality of people with disabilities. A Q methodological study was undertaken in two study areas and 6 factors from these studies are interpreted and related to the literature. The findings reveal that there is an emerging discourse of resilience and engagement in positive relationships. However, the high levels of stigma and negative attitudes toward people with disabilities limit the development of healthy sexuality. The implications of these findings for sexuality education are highlighted with an emphasis on balancing the need for protection with that of participation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.