Saying something interesting about responsibility for health

Nursing Philosophy 13 (3):161-178 (2012)
  Copy   BIBTEX

Abstract

The concept of responsibility for health is a significant feature of health discourse and public health policy, but application of the concept is poorly understood. This paper offers an analysis of the concept in two ways. Following an examination of the use of the word ‘responsibility’ in the nursing and wider health literature using three examples, the concept of ‘responsibility for health’ as fulfilling a social function is discussed with reference to policy documents from the UK. The philosophical literature on moral responsibility is introduced, and in considering two versions, reactive attitudes and accountability, it is argued that in application both can be regarded, though with different emphasis, as being constituted in three parts: a responsible agent; having obligations ; and being susceptible to being held responsible if he fails to meet them. The three‐stage model is consistent with the examples of the word responsibility in use, but application to the social function model causes a number of problems for healthcare practice, especially for the reactive attitudes account. Apart from considerable problems in stating what exactly the obligations are and how they can be justified; and how blame might justly be apportioned and by whom, the very ideas of obligation and blame are in conflict within healthcare systems and professional nursing practice which have foundations deeply embedded in the notion of the supremacy of personal autonomy. It is concluded that current application of the concept of responsibility for health is conceptually incoherent, and if it is to retain its place in health policy and discourse, urgent remedy is required.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 89,528

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Collective responsibility in health care.Lisa H. Newton - 1982 - Journal of Medicine and Philosophy 7 (1):11-22.
Editorial for the thematic section “social responsibility and health”.Stefano Semplici - 2011 - Medicine, Health Care and Philosophy 14 (4):353-354.
Health care responsibility.Andre Vries - 1980 - Theoretical Medicine and Bioethics 1 (1):95-106.
Collective responsibility in health care.R. S. Downie - 1982 - Journal of Medicine and Philosophy 7 (1):43-56.
The importance of 'social responsibility' in the promotion of health.Stefano Semplici - 2011 - Medicine, Health Care and Philosophy 14 (4):355-363.
Corporate moral responsibility in health care.Stephen Wilmot - 2000 - Medicine, Health Care and Philosophy 3 (2):139-146.
The right perspective on responsibility for ill health.Karl Persson - 2013 - Medicine, Health Care and Philosophy 16 (3):429-441.
Health Maintenance as Responsibility for Self.Katharine KolcabaRaymond Kolcaba - 1994 - Philosophy in the Contemporary World 1 (2):19-24.
The role of solidarity in social responsibility for health.Massimo Reichlin - 2011 - Medicine, Health Care and Philosophy 14 (4):365-370.
Responsibility for personal health: A historical perspective.Stanley J. Reiser - 1985 - Journal of Medicine and Philosophy 10 (1):7-18.
Responsibility for Health and Blaming Victims.Mike W. Martin - 2001 - Journal of Medical Humanities 22 (2):95-114.

Analytics

Added to PP
2012-06-07

Downloads
41 (#335,052)

6 months
2 (#646,201)

Historical graph of downloads
How can I increase my downloads?

References found in this work

Responsibility and Control: A Theory of Moral Responsibility.John Martin Fischer & Mark Ravizza - 1998 - New York: Cambridge University Press. Edited by Mark Ravizza.
Freedom and Resentment.Peter Strawson - 1962 - Proceedings of the British Academy 48:187-211.
Responsibility and the Moral Sentiments.R. Jay Wallace - 1994 - Cambridge, Mass.: Harvard University Press.
The Theory and Practice of Autonomy.Gerald Dworkin - 1988 - New York: Cambridge University Press.
Health as a theoretical concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.

View all 61 references / Add more references