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Ethical Underpinnings of Sexuality Policies in Aged Care

Centralising Dignity

Bibliographic Data

ID12901852
AuthorsCatherine M Cook (0000-0003-3976-6858, Massey University, corresponding author), Vanessa Schouten (0000-0002-6188-5004, Massey University), Mark Henrickson (0000-0003-2769-5132, Massey University)
Year2018
Volume12
Issue3
Pages272-290
Publication date2018-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueEthics and Social Welfare (JOURNAL)
Journal identifiersISSN: 1749-6535 • E-ISSN: 1749-6543
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17496535.2018.1512642
OpenAlexW2889544905
LanguageEN
Citations received5
References cited46

This article explores the tacit ethical positions underpinning policies about intimacy and sexuality for residential aged care. We make explicit the wide-ranging ethical positions and assumptions about the personhood of older people that inform these guidelines. This analysis is undertaken to ensure that a rigorous ethical critique informs policies and education. Eight accessible policies from Anglophone nations are analysed. We found that these policies are largely informed by liberal values that valorise autonomy and self-determination. In its 2014 Definition, social work moved beyond these individualistic values to acknowledge a broad range of cultural contexts and Indigenous knowledges. We found and explore five key ethical categories in these policies: well-being; Kantian notions of respect and dignity, which we reconstruct in a twenty-first century context to include respect for diversity; human rights; narrative approaches; and duty of care. In residential aged care, liberal values have evolved into neoliberal values that place institutions over individuals, and risk management over personhood. Policies must balance the tension between ensuring that such policies are sufficiently action-guiding, but are not rigidly prescriptive. By understanding the ethical concepts, practitioners are better able to craft person-centred approaches rather than simply taking legalistic approaches to policy

Autonomy · Beneficence · Context (archaeology · Craft · Dignity · Duty · Environmental ethics · Indigenous · Individualism · Law and economics · Personhood · Political science · Respect for persons · Sociology · Feminism, Gender, and Sexuality Studies · Law · Patient Dignity and Privacy · Public Administration · Social Work Education and Practice

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Unique citing works5
Citations per year1
Citation span2021 - 2023 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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