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Approaching Subjectivity. On “The Dispute About Subjectivity: Interdisciplinary Perspective”

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Napiwodzka K.
Ethics in Progress
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2017
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vol. 8
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issue 2
123-131
PL
The review paper revisits the problem of subjectivity with particular focus on the latest research in this field presented in The Dispute about Subjectivity – an Interdisciplinary Perspective, edited by Adriana Warmbier (2016). I pay special attention to the interdisciplinary perspective of the analyzed issues of subjectivity as a research object in humanities (philosophy, psychology, anthropology) and cognitive sciences.
2
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Communicative action and practical discourse to empower patients in healthcare-related decision making

100%
Napiwodzka K.
Acta Universitatis Lodziensis. Folia Philosophica. Ethica – Aesthetica – Practica
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2021
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issue 38
81-99
EN
The aim of the paper is to reconsider Habermas’ discourse approach in terms of its usefulness in the realm of public healthcare where, on a microscale, intersubjective communicative situations arise between defined participants, i.e., patients and healthcare providers, patients’ family members, and further eligible contributors to patient-related decision making. A need for more “communicative interaction,” and explicative and practical discourse, is illustrated by two empirical examples of medical decision making which reveal both communicative and discursive deficits (Section I). To empower and enable the patient as a rational and autonomous speaker and discourse participant, a Habermasian emancipatory argument and ‘the power of the better argument’ is recalled (Section III). The possibility of equal communicative and discursive rights in the light of real inequalities is discussed in the context of a ‘competence gap’ between participants (Section IV). Further sections focus on the importance of informed consent on the side of the patient and the communicative competences as an important factor of healthcare system.
3
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Go Unattended. A Review of Anthony Stavrianakis’ Book “Leaving. A Narrative of Assisted Suicide” (2019)

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Napiwodzka K.
Ethics in Progress
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2022
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vol. 13
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issue 2
141-146
EN
This is a review of Anthony Stavrianakis’ book Leaving. A Narrative of Assisted Suicide (University of California Press, 2019). Medically-assisted suicide still raises many issues and controversies of various types: ethical, legal, organizational and institutional. The situation varies greatly between countries, and depends on health care policies and socially recognised values. However, the overriding question is as follows: under what conditions should this form of death be allowed? Among the arguments that are well known, recognized and now tame, Stavrianakis’ research brings new light and perspective. The author goes deeper and searches for the real motives driving people to choose this manner of death. He sees the nuances and recounts the difficulties. In this article, I highlight aspects of Stavrianakis’ work that I find relevant and crucial for the issues considered.
4
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Preface to the Issue Moral Competence & Subjectivity: Topical Issues

63%
Dutka J., Napiwodzka K.
Ethics in Progress
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2017
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vol. 8
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issue 2
4-4
EN
Preface to the Issue Moral Competence & Subjectivity: Topical Issues.
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Women’s Reproductive Health Rights in Poland. Between a Druggists’ Conscience Clause and Their Legal Duty to Provide Contraceptives

51%
Ciereszko K., Napiwodzka K., Nowak E., Hemmerling K.
Ethics in Progress
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2023
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vol. 14
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issue 1
94-109
EN
This article recommends the promotion of moral competence in the health and pharmacy professions to enable them to respect human and patient health rights with a focus on the provision of reproductive and sexual health care services. In certain cultures, health care and drug providers follow their conscientious objection (conscience clause) and decline to perform specific health services, including the provision of legal contraceptives in cases protected by legal and human rights. Such malpractices may violate patients’ and purchasers’ legitime rights. The article also presents findings obtained in Poland with N=121 women experimentally interviewed to examine their experiences as contraception purchasers, to assess their preference concerning facing human vs. robotic pharmacists, to manage the risk of refusal argued by the conscientious objection, and to score their moral competence with one of the dilemmas included in the MCT by G. Lind. This study demonstrated that purchasers with higher C-score (C for moral competence) would not just prefer a robotic pharmacist without a ‘conscience’ but, rather, a competent sales staff able to instruct the patient and advice her on any related queries. It further results that participants with higher moral competence are thus less likely to trust the medical expertise of artificial intelligence. We conclude that public institutions in pluralistic societies must manage normative reproductive health contexts more inclusively, and the election, education, and practice of health professionals in the public health care sector require the development of a normative mindset toward respecting the rights of all patients instead of respecting them selectively at the diktat of particularistic conscience.
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Ars Moriendi. Ethical Challenges of the Ultimate Realities of Life

51%
Sgarlata S., Dłużewicz A., Napiwodzka K.
Ethics in Progress
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2022
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vol. 13
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issue 2
4-10
EN
The aim of this issue of Ethics in Progress is to provide a provisional, open-ended view on the ultimate realities of life and the ethical challenges they pose in medical, sociological, and existential contexts. The issue explores axiologies and meta-ethical narratives related to the art of dying, or in other words the moral domain encompassing the quest for a good life and a good death. Two problematic aspects emerge from the latest body of research: (1) the difficulty involved in tackling ethical challenges in medical and sociological contexts; and (2) the marginal role of the patient’s agency and narrative-ownership of end-of-life decision-making. A direction is pointed out that suggests that interventions across interdisciplinary groups involved in medical aid to dying should focus on promoting ethical behaviour on the side of healthcare personnel. Finally, attention to language, discourse, communication, and the narratives of death and dying call this edition of Ethics in Progress to examine the ontological and epistemological categories that underlie the study of lifeworlds and ‘discourse communities’, which are those associated with moral agents interlacing historical motives, language, communication, normative beliefs, social norms and roles, power relations, hard clinical evidence, and contested values in the context of medical practices and, broadly speaking, practices surrounding death.
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