Ethical dilemmas in community mental health care is the focus of this article. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. The different stakeholders are confronted with the following dilemmas: community care versus hospital care (clients); a life with care versus a life without care (inform...

This study investigated the temporal dynamics of emotional and cognitive processing underlying decision-making in moral judgment. Thirty-seven participants were presented with a set of 60 dilemmas varying in whether killing one individual was an intended means to save others (instrumental dilemmas) or a foreseen but unintended consequence (incidental dilemmas). Participants were required to dec...

Given that decision makers continue to face dilemmas on whether to persist or desist with troubled projects, it is important for senior managers to support the assessment of decision dilemmas faced by project managers. By drawing on two case studies that exhibit project escalation situation, decision-makers in both cases were interviewed and important documents reviewed, the paper has identifie...

Ethics must be a condition of the world, like logic. Ludwig Wittgenstein, 1889-1951. The development of data mining is presenting significant ethical and social issues that must be addressed if the new technology is to widely accepted. This paper explores a range of these issues identifying in particular: privacy, data accuracy, database security, stereotyping, legal liability and the broader r...

Recent studies have shown the existence of a relationship between sleep and moral judgment. In this study, we investigated whether one night of sleep deprivation affects the ability to judge the appropriateness of moral dilemmas. Forty-eight students had to judge 30 moral dilemmas at test, after a night of home sleep, and another 30 dilemmas at retest, following one night of continuous wakefuln...

Evaluations of analogous situations are an important source for our moral intuitions. A puzzling recent set of findings in experiments exploring transfer effects between intuitions about moral dilemmas has demonstrated a striking asymmetry. Transfer often occurred with a specific ordering of moral dilemmas, but not when the sequence was reversed. In this article we present a new theory of trans...

Background Intersectoral action is often presented as essential in the promotion of population health and health equity. In Norway, national public health policies are based on the Health in All Policies (HiAP) approach that promotes whole-of-government responsibility. As part of the promotion of this intersectoral responsibility, p...

Any tool intended to support social acts, in this case a Knowledge Management system, is hard to design and implement, since it generally introduces new social work patterns and new communication protocols and media. In this paper we present a case where dilemmas are found and attempted used as a tool in system development and in the crucial and often simultaneous change process towards use of ...

OBJECTIVES To investigate the incidence and solution of ethical dilemmas in a palliative care unit. DESIGN Health care workers recorded daily all dilemmas in caring for each patient. SETTING Palliative care unit of National Taiwan University Hospital in Taiwan. PATIENTS Two hundred and forty-six consecutive patients with terminal cancer during 1997-8. MAIN MEASUREMENT Ethical dilemmas i...