The enduring psychiatric myth is that particular personal, interpersonal and social problems in living are manifestations of ‘mental illness’ or ‘mental disease’, which can only be addressed by ‘treatment’ with psychiatric drugs. Psychiatric drugs are used only to control ‘patient’ behaviour and do not ‘treat’ any specific pathology in the sense understood by physical medicine. Evidence that people, diagnosed with ‘serious’ forms of ‘mental illness’ can ‘recover’, without psychiatric drugs, has been marginalized by drug-focused research, much of this funded by (...) the pharmaceutical industry. The pervasive myth of psychiatric drugs dominates much of contemporary ‘mental health’ policy and practice and raises discrete ethical issues for nurses who claim to be focused on promoting or enabling the ‘mental health’ of the people in their care. (shrink)

Illness creates a range of negative emotions in patients including anxiety, fear, powerlessness, and vulnerability. There is much debate on the ‘therapeutic’ or ‘helping’ nurse–patient relationship. However, despite the current agenda regarding patient-centred care, the literature concerning the development of good interpersonal responses and the view that a satisfactory nursing ethics should focus on persons and character traits rather than actions, nursing ethics is dominated by the traditional obligation, act-centred theories such as consequentialism and deontology. I critically examine these theories (...) and the role of duty-based notions in both general ethics and nursing practice. Because of well-established flaws, I conclude that obligation-based moral theories are incomplete and inadequate for nursing practice. I examine the work of Hursthouse on virtue ethics’ action guidance and the v-rules. I argue that the moral virtues and a strong (action-guiding) version of virtue ethics provide a plausible and viable alternative for nursing practice. I develop an account of a virtue-based helping relationship and a virtue-based approach to nursing. The latter is characterized by three features: (1) exercising the moral virtues such as compassion; (2) using judgement; and (3) using moral wisdom, understood to include at least moral perception, moral sensitivity, and moral imagination. Merits and problems of the virtue-based approach are examined. I relate the work of MacIntyre to nursing and I conceive nursing as a practice: nurses who exercise the virtues and seek the internal goods help to sustain the practice of nursing and thus prevent the marginalization of the virtues. The strong practice-based version of virtue ethics proposed is context-dependent, particularist, and relational. Several areas for future philosophical inquiry and empirical nursing research are suggested to develop this account yet further. (shrink)

With rapid advances in the biosciences, bioethics has become an important, if not vital part of a comprehensive bioscience education. Students who successfully complete a course in bioethics will be better equipped for writing manuscripts for publication, preparing research proposals for funding bodies and completing applications for research ethics committees. Given the importance of both grant writing and successful publication in a bioscience career, bioscience students who do not receive training in bioethics will be disadvantaged. Graduates who move into careers (...) other than research, such as science policy, administration or education, will also benefit from the inclusion of bioethics in their bioscience education because they will need to consider the ethical issues that arise in the context of policy, public relations and public health. Given the importance of including bioethics in a bioscience education, this paper presents the findings of an empirical study that was designed to evaluate the different ways to design and deliver a bioethics module for bioscience students. The study considers the aims and objectives; the teaching, learning and assessment strategies and the content of a ‘bioethics for bioscience’ module. At a more fundamental level, the study explores why bioethics should be taught, at what level bioethics should be delivered, how much time should be committed to the teaching of bioethics and the core topics that should be included in a bioethics module. (shrink)