B09: Tutorial 4 – Summary

  • Thanks for your patience waiting for this summary. Again, I welcome volunteers to send me their own versions of tutorial summaries (a style of participating), as I am not always free to write them up until several days later, and may not always be able to go into depth.
  • News and reminders (most of these already posted on main page).
    • Strike updates
    • Office hour updates
    • C will take longer to return self-reflections due to personal/health circumstances, as disclosed in more detail in tutorial. They will be returned within two weeks nonetheless.
  • I introduced three terms that are not required knowledge in this course unless they pop up in slides at some point, but common and important to nursing ethics, and moral lives more broadly. Oversimplified, these are:
    • Moral distress: occurs when we strongly believe or know what the right thing to do is, and yet are unable to do that thing, typically due to institutional rules or other power structures constraining our choice
    • Moral fatigue: occurs as a result of ongoing moral distress and moral residue. Physical, mental, emotional.
    • Moral residue: the “residue” left from engaging in moral deliberation and decision making, often as results of moral distress, from learning more about how we should have acted, etc.
  • Discussion followup: Does principleism or casuistry give us any better guidance on what Dr. Bell should do? Have your answers changed since last week? Why/why not?
  • Discussion:
    • Version One: X-men: William and Marcy Stryker want to have a baby but are unable to get pregnant through PIV intercourse due blocked fallopian tubes. They want a baby to be similar and related to them, so they undertake a course of in vitro fertilization. The Strykers are offered pre-implantation genetic diagnosis, and during the screening process physicians identify that the embryonic DNA has an X-gene on chromosome 23, known to yield proteins that variously change chemistry throughout the body and cause mutations. Types of mutations differ drastically between individuals with no known cause of phenotypical differences, but mutation is associated with social isolation, physical and mental differences, and persistent stigma and lack of social support. William believes that the possible child overall would not have a future worth valuing, and that they are unfit to raise a mutant, and he suggests rejecting the embryo. Marcy opposes his decision, claiming that his valuation of mutants is couched in ableism and discrimination, and that she would do her best to care for, nurture, and love the possible child. Is it permissible to reject the embryo? (see also: X-2 the movie)
    • Version two: Trisomy 21: Similar set up but the embryo has an extra copy of chromosome 21 under contemporary social contexts of ableist discrimination.
    • Version three: Colourism: Similar set up but the embryo of mixed race parentage will have darker pigmented skin under contemporary social contexts of white supremacism (Possible example of colourist discrimination in the new Black Lightning TV series)

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