Living Well with End Stage Renal Disease: Patients' Narratives Interpreted from a Virtue Perspective

Ethical Theory and Moral Practice 8 (5):485-506 (2005)
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Abstract

Over the last few decades there has been a revival of interest in virtue ethics, with the emphasis on the virtuous caregiver. This paper deals with the ‘virtuous patient’, specifically the patient with End Stage Renal Disease (ESRD). We believe that a virtue approach provides insights not available to current methods of studying coping styles and coping strategies. Data are derived from seven semi-structured in-depth interviews. The transcripts of the interviews were subjected to an Interpretative Phenomenological Analysis (IPA). The focus of the analysis was on ‘living well with chronic illness’. It appears that the moral challenges faced by patients with an ESRD are manifold. When they are invited to tell the story of their illness, they do not explicitly speak of virtues, but they often refer to moral qualities, and to attitudes that can be regarded as virtuous. We identify several such concepts in the narratives of patients with ESRD. We conclude that the Aristotelian model of virtue ethics is particularly descriptively (and possibly also normatively) relevant to the explanation of the life narratives and the moral challenges of patients with an ESRD.

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Author's Profile

Jean-Pierre Wils
Radboud University Nijmegen

References found in this work

After virtue: a study in moral theory.Alasdair C. MacIntyre - 1984 - Notre Dame, Ind.: University of Notre Dame Press.
Oneself as Another.Paul Ricoeur - 1992 - University of Chicago Press.
The virtues in medical practice.Edmund D. Pellegrino - 1993 - New York: Oxford University Press. Edited by David C. Thomasma.
For the patient's good: the restoration of beneficence in health care.Edmund D. Pellegrino - 1988 - New York: Oxford University Press. Edited by David C. Thomasma.

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