Appeals to the miraculous are common in healthcare, and arguments about end-of-life decision-making can quickly become theological. Assessments of hope have been recommended within the biopsychosocialspiritual model of medicine, but these assessments fail to account for the theological dimension of hope. Examples of failed assessments include recent efforts in palliative care and classic works, such as On Death and Dying by Elisabeth Kübler-Ross. To adequately address the patient’s and family members’ hopes without patronizing or harming the patient, assessments must be (...) done by a person trained in theology. (shrink)

Based on ethnographic research done in Moscow, Russia, this article describes how some Muscovites articulate their moral consciousness, that is, the ways in which persons articulate to themselves and others how they conceptualize morality. While it may be possible, and indeed is often the case, that these concepts influence how people act and help guide individuals toward moral behavior, what is more important for our purposes is that these concepts provide a way for persons to give meaning, both for themselves (...) and for others, to their moral worlds and experience. Thus, what I hope to do in this article is describe just one of the conceptual frameworks within which moral experience is rendered meaningful for my Muscovite interlocutors. In doing so, I will consider how certain concepts of the moral person that have their origins in turn of the century Russian religious philosophy, Russian Orthodox Christianity, and Soviet ideology have all come together to make up various aspects of this moral consciousness. (shrink)