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Peter, Elizabeth, Liaschenko, Joan. Moral Distress Reexamined: A Feminist Interpretation of Nurses’ Identities, Relationships, and Responsibilites
2013, The Journal of Bioethical Inquiry. 10: 337–345.

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Added by: Chris Blake-Turner
Abstract:
Moral distress has been written about extensively in nursing and other fields. Often, however, it has not been used with much theoretical depth. This paper focuses on theorizing moral distress using feminist ethics, particularly the work of Margaret Urban Walker and Hilde Lindemann. Incorporating empirical findings, we argue that moral distress is the response to constraints experienced by nurses to their moral identities, responsibilities, and relationships. We recommend that health professionals get assistance in accounting for and communicating their values and responsibilities in situations of moral distress. We also discuss the importance of nurses creating “counterstories” of their work as knowledgeable and trustworthy professionals to repair their damaged moral identities, and, finally, we recommend that efforts toward shifting the goal of health care away from the prolongation of life at all costs to the relief of suffering to diminish the moral distress that is a common response to aggressive care at end-of-life.

Comment (from this Blueprint): Moral distress is, roughly, when a healthcare worker is institutionally constrained to act against their best moral judgement. A typical example is a nurse being prevented from giving care they deem morally required because they are hierarchically constrained by the orders of a physician. Moral distress has been much discussed in nursing ethics, but is almost entirely absent from broader bioethics syllabi and conversations. This paper examines moral distress through a lens of feminist care ethics. In doing so, it draws lessons that apply very broadly throughout professional ethics.

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Wilson, Yolonda, et al.. Intersectionality in Clinical Medicine: The Need for a Conceptual Framework
2019, The American Journal of Bioethics. 19(2): 8–19.

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Added by: Chris Blake-Turner
Abstract:
Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient–clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.

Comment (from this Blueprint): Wilson et al. argue that intersectionality is an important concept in clinical practice. They clarify the concept and distinguish their call for intersectionality from nearby claims. For instance, they argue that intersectionality goes beyond mere cultural competence that healthcare providers are already trained in, at least to some degree. Their paper is anchored around two fictionalized case studies, which they use to make vivid and explain their central claims. They end by responding to objections, including the very idea of intersectionality itself.

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Ray, Keisha. It’s Time for a Black Bioethics
2021, The American Journal of Bioethics. 21(2): 38–40.

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Added by: Chris Blake-Turner
Abstract:
There are some long-standing social issues that imperil Black Americans' relationship with health and healthcare. These issues include racial disparities in health outcomes (Barr 2014), provider bias and racism lessening their access to quality care (Sabin et al. 2009), disproportionate police killings (DeGue, Fowler, and Calkins 2016), and white supremacy and racism which encourage poor health (Williams and Mohammed 2013). Bioethics, comprised of humanities, legal, science, and medical scholars committed to ethical reasoning is prima facie well suited to address these problems and influence solutions in the form of policy and education. Bioethics, however, so far has shown only a minimal commitment to Black racial justice.

Comment (from this Blueprint): In this short, seminal piece, Keisha Ray argues that bioethics needs to address issues of health and well-being of Black individuals. She applies Beauchamp and Childress’s famous four principles of bioethics to a particular issue: the disproportionate maternal mortality rate of Black women in the United States. Ray argues bioethics must incorporate the lens of Black bioethics, if the discipline is to remain relevant.

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TallBear, Kim. Making Love and Relations Beyond Settler Sexuality
2016, Lecture. The Ecologies of Social Difference Research Network. University of British Columbia.

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Added by: Sonja Dobroski and Quentin Pharr
Abstract:
Lecture as part of the Social Justice Institute Noted Scholars Lecture Series, co-presented by the Ecologies of Social Difference Research Network at the University of British Columbia.

Comment:
available in this Blueprint

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Byrd, Jodi. What’s Normative Got to Do with It?: Toward Indigenous Queer Relationality
2020, Social Text, 38 (4 (145)): 105–123.

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Added by: Sonja Dobroski and Quentin Pharr
Abstract:
This article considers the queer problem of Indigenous studies that exists in the disjunctures and disconnections that emerge when queer studies, Indigenous studies, and Indigenous feminisms are brought into conversation. Reflecting on what the material and grounded body of indigeneity could mean in the context of settler colonialism, where Indigenous women and queers are disappeared into nowhere, and in light of Indigenous insistence on land as normative, where Indigenous bodies reemerge as first and foremost political orders, this article offers queer Indigenous relationality as an additive to Indigenous feminisms. What if, this article asks, queer indigeneity were centered as an analytic method that refuses normativity even as it imagines, through relationality, a possibility for the materiality of decolonization?

Comment:
available in this Blueprint

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Maracle, Lee. I Am Woman: A Native Perspective on Sociology and Feminism
2002, Press Gang Publishers, Canada.

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Added by: Sonja Dobroski and Quentin Pharr
Publisher’s Note:
I Am Woman represents my personal struggle with womanhood, culture, traditional spiritual beliefs and political sovereignty, written during a time when that struggle was not over. My original intention was to empower Native women to take to heart their own personal struggle for Native feminist being. The changes made in this second edition of the text do not alter my original intention. It remains my attempt to present a Native woman's sociological perspective on the impacts of colonialism on us, as women, and on my self personally.

Comment:
available in this Blueprint

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Beauchemin, Michel, Levy, Lori, Vogel, Gretchen. Two Spirit People
1991, Frameline. 20 min. USA.

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Added by: Sonja Dobroski and Quentin Pharr
Abstract:
An overview of historical and contemporary Native American concepts of gender, sexuality and sexual orientation. This documentary explores the berdache tradition in Native American culture, in which individuals who embody feminine and masculine qualities act as a conduit between the physical and spiritual world, and because of this are placed in positions of power within the community.

Comment:
available in this Blueprint

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Cobb-Greetham, Amanda. Understanding Tribal Sovereignty: Definitions, Conceptualizations, and Interpretations
2005, American Studies, 46(3), 115–132.

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Added by: Sonja Dobroski and Quentin Pharr
Abstract:
Forty years have passed since the Midcontinent American Studies Journal published its landmark special issue, "The Indian Today."  Since that publication, the landscape of Indian country has changed dramatically. This change has come primarily from an amazing cultural resurgence among Native Peoples in the United States — a resurgence that has manifested itself in everything from the Red Power movement to the birth of American Indian studies in the academy; to the renaissance of contemporary Native art, literature, and film; to the creation of tribal colleges, museums, and cultural centers; to the unprecedented rise in economic development; to notable gains in power in political and legal arenas.

Comment:
available in this Blueprint

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McKay, Ailsa. Promoting Gender Equity Through a Basic Income
2013, In Karl Widerquist (ed.), Basic Income: An Anthology of Contemporary Research. Wiley Blackwell

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Added by: Deryn Mair Thomas
Abstract:
Basic Income: An Anthology of Contemporary Research presents a compilation of six decades of Basic Income literature. It includes the most influential empirical research and theoretical arguments on all aspects of the Basic Income proposal.

Comment (from this Blueprint): This text presents several interesting feminist arguments in favour of basic income, while offering some novel criticisms about the way 'work' is typically conceptualised in traditional UBI debates. In particular, McKay points out that most UBI discussion disregards unpaid work, which has a variety of impliciations for gendered labour and class division. Therefore, it can be used, first, to engage students with literature at the intersection of feminist philosophy, philosophy of gender, and philosophy of work; and second, to further discuss philosophical questions concerning how we conceptualise work and what happens when certain forms of work are prioritsed over others.

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Mich Ciurria. An Intersectional Feminist Theory of Moral Responsibility
2019, Routledge

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Added by: Simon Fokt, Contributed by: Anonymous
Publisher’s Note:
This book develops an intersectional feminist approach to moral responsibility. It accomplisheses four main goals. First, it outlines a concise list of the main principles of intersectional feminism. Second, it uses these principles to critique prevailing philosophical theories of moral responsibility. Third, it offers an account of moral responsibility that is compatible with the ethos of intersectional feminism. And fourth, it uses intersectional feminist principles to critique culturally normative responsibility practices. This is the first book to provide an explicitly intersectional feminist approach to moral responsibility. After identifying the five principles central to intersectional feminism, the author demonstrates how influential theories of responsibility are incompatible with these principles. She argues that a normatively adequate theory of blame should not be preoccupied with the agency or traits of wrongdoers; it should instead underscore, and seek to ameliorate, oppression and adversity as experienced by the marginalized. Apt blame and praise, according to her intersectional feminist account, is both communicative and functionalist. The book concludes with an extensive discussion of culturally embedded responsibility practices, including asymmetrically structured conversations and gender- and racially biased social spaces. An Intersectional Feminist Approach to Moral Responsibility presents a sophisticated and original philosophical account of moral responsibility. It will be of interest to philosophers working at the crossroads of moral responsibility, feminist philosophy, critical race theory, queer theory, critical disability studies, and intersectionality theory.

Comment: This book offers a critique of mainstream theories of moral responsibility and defends an intersectional feminist alternative that holds people responsible for their contributions, whether intentional or not, to intersecting systems of oppression.

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