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Worldviews: The Foundation of Ethics


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Title: Worldviews: The Foundation of Ethics

(No Transcript)
Worldviews The Foundation of Ethics
Dr. Burton
  • HAS 6000

JCAHO Standards
  • RI 2.10 The hospital respects the rights of
  • Elements of Performance
  • 2. Each patient has the right to have his or her
    cultural, psychosocial, spiritual and personal
    values, beliefs and preferences respected
  • 4. The hospital accommodates the right to
    pastoral and other spirituals services for
  • RI 2.220 (LTC only) Residents receive care that
    respects their personal values, beliefs, cultural
    and spiritual preferences, and life-long patterns
    of living

If we are to comply with JCAHO standards, how
important is it to understand the differing
worldviews on which our patients base their
values and spiritual beliefs as well as knowing
our own?
Five Questions about WV
  • 1. What is ultimately the prime reality? (...such
    as "God", or Matter/Energy)
  • 2. What is the basic nature of the universe?
  • 3. What is the basic nature and condition of man?
  • 4. What happens to man at death?
  • 5. What is the reason or basis of ethics and

Conflicting world views?
  • I am aware that no neutral on such
    emotionally charged issues. None of us can
    tolerate the notion that our worldview may be
    based on a false premise and, thus, our whole
    life headed in the wrong direction.
  • Dr. Armand M. Nicholi Jr.

  • Most of us make one of two basic assumptions
  • we view the universe as a result of random events
    and life in this planet is a matter of chance
  • Or we assume an Intelligence beyond the universe
    who gives the universe order, and life meaning.
  • Dr. Armand M. Nicholi Jr.

The basis for an approach to ethics
  • Worldview establishes the foundation that
    individuals rely on to form their approach to
    ethics. There are two fundamental worldviews
    from which ethics and values manifest in behavior
    and decision-making
  • A belief that humans are created beings
    accountable to a creator.
  • A belief that humans evolved from the result of a
    chance event.

  • Every individual bases his thoughts, decisions
    and actions on a worldview.
  • Because worldviews are pertinent to every
    persons lifethe way we think and the way we
    actand because virtually all worldviews promise
    salvation or utopia, the study of worldviews is
    of critical importance.
  • David Noebel

  • Our worldview informs our personal, social, and
    political lives. It influences how we perceive
    ourselves, how we relate to others, how we adjust
    to adversity, and what we understand our purpose
    to be.
  • Dr. Armand M. Nicholi Jr.

  • Our worldview helps determine our values, our
    ethics, and our capacity for happiness. It helps
    us understand
  • where we come from, our heritage
  • who we are, our identity
  • why we exist on this planet, our purpose
  • what drives us, our motivation and
  • where we are going, our destiny.
  • Dr. Armand M. Nicholi Jr.

Judaism Christianity Islam
Naturalism Humanism Marxism/Leninism Nihilism
Hinduism Buddhism New Age
Historical development of world views.
Eastern Pantheistic Monism
New Age
  • The European Worldview
  • We are randomly assembled protoplasm living
    in a contract culture.
  • Classical American Worldview
  • We are created beings endowed with certain
    inalienable rights

Newt Gingrich 1/12/05
The Law of Non-Contradiction
  • "One cannot say of something that it is and that
    it is not in the same respect and at the same

  • Aristotle

There is no absolute truth
Is that absolutely true?
  • in all of my years in public life I have never
    obstructed justice...People have got to know
    whether or not their President is a crook. Well,
    I'm not a crook.
  • Richard M. Nixon

Bill Clinton testifying before a Grand Jury.
  • "It depends on what the meaning of the word 'is'
  • If the--if he--if 'is' means is and never has
    been, that is not--that is one thing. If it means
    there is none, that was a completely true
    statement.... Now, if someone had asked me on
    that day, are you having any kind of sexual
    relations with Ms. Lewinsky, that is, asked me a
    question in the present tense, I would have said
    no. And it would have been completely true.

HCA Hospital Corporation of America
  • Abstract The court has ordered HCA Inc to pay
    the US 631 million in civil penalties and
    damages arising from false claims the government
    alleged it submitted to Medicare and other
    federal health programs. The settlement, which
    was announced in June, resolved HCA's civil
    liability for false claims resulting from a
    variety of allegedly unlawful practices,
    including cost report fraud and the payment of
    kickbacks to physicians.
  • Frist company fraudRussell Mokhiber. Multinational
    Monitor.  Washington Jul/Aug 2003.Vol.24, Iss. 7
    /8  pg. 40

The owners of a nursing
home where 34 residents
are believed to have drowned during Hurricane
Katrina were charged Tuesday
with negligent homicide. "They were warned
repeatedly that this storm was coming. In effect,
their inaction resulted in the deaths of these
patients." Neighbors described a horrible scene
that unfolded on Aug. 29, the day Katrina hit.
Floodwaters rose to the roof of the one-story
nursing home in St. Bernard, outside New Orleans,
trapping elderly and infirm residents inside.
Neighbors came in boats and smashed a hole in the
roof. "We tried to get out as many as we could,"
said Steve Snyder, 29, an oil rig worker. "All we
could go by was the hollering and screaming,
'Help, help!' " "We got 25 to 27 people out
alive," Snyder said. "And then we didn't hear any
more screaming, any more people calling for
help. "He was sure the levees were going to
hold, and if he put people on the bus, there was
a good chance of losing two or three people on
the ride to Lafayette,"
  • According to an article by USA Today (1998-JUL-6)
    physician assisted suicide is
  • Permitted in Oregon under very tightly
    controlled conditions. Not specifically mentioned
    in the laws of North Carolina, Utah and Wyoming.
    Specifically criminalized in the remaining
  • In Canada, assisted suicide comes under a Federal
    law and is thus a criminal act everywhere in the

Hemlock Society
  • Hemlock extols assisted suicide for elderly
    people who are not ill.
  • "Some couples choose to die together, regardless
    of whether both are in poor health, or only
    one.That the couple would wish to die together
    is a tribute to the strength of a loving
  • Derek
    Humphry, Final Exit, (Hemlock Society, 1991),
    Chapter Twenty "Going Together," p. 101.
    Humphry and his wife, Ann, co-founded the Hemlock
  • "Ending your life can be complex, you only do it
    once, and failure could be disastrous."

  • Self-Deliverance Helium," Hemlock's EOL Choices,
    Vol. 1, No. 1, Winter 2002, p. 5.
  • Note  In mid 2003, the Hemlock Society changed
    its name to "End-of-Life Choices."  At the end of
    2004, End-of-Life Choices merged with Compassion
    in Dying.  The organization is now known as
    "Compassion and Choices."

The beginning of life?