Towards a ‘social anthropology’ of end of life moral deliberation: A study of Australian Salvation Army officers

Andrew Cameron, Bruce Stevens, Rhonda Shaw, Peter Bewert, Mavis Salt, Jennifer Ma

Research output: Contribution to journalArticle

Abstract

A research project by the Schools of Theology and Psychology of Australia’s Charles Sturt University surveyed a large sample of Salvation Army officers. This paper considers survey responses to two questions relating to end of life care: the use of pain medications that may shorten life, and the cessation of fluid and food intake. The results of the analyses are evaluated in terms of Michael Banner’s proposal that moral theology should more assiduously converse with ‘patient ethnographic study’, which the survey instantiates to some extent. Banner’s proposal and the results of the survey are contrasted to Peter Singer’s analytical moral philosophical dictums on end of life care. The results are also compared to a metastudy by Rodríguez-Prat and van Leeuwen of fourteen ethnographic studies of those who wish to hasten death at the end of life. We conclude that respondents exemplify a form of moral reasoning that: is embedded within Christian spirituality; counters the assumptions of Singer’s approach; contrasts the diminishment of ‘meaning’ at the end of life, as seen in Rodríguez-Prat and van Leeuwen; and deserves further respectful ethnographic study.
Original languageEnglish
Pages (from-to)1-19
Number of pages19
JournalStudies in Christian Ethics
DOIs
Publication statusPublished - 29 May 2019

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Salvation Army
Social Anthropology
Moral Deliberation
Ethnographic Study
End of Life
End of Life Care
Banner
Wishes
Psychology
Dictum
Research Projects
Theology
Pain
Peter Singer
Intake
Singers
Moral Reasoning
Christian Spirituality
Food
Medication

Cite this

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abstract = "A research project by the Schools of Theology and Psychology of Australia’s Charles Sturt University surveyed a large sample of Salvation Army officers. This paper considers survey responses to two questions relating to end of life care: the use of pain medications that may shorten life, and the cessation of fluid and food intake. The results of the analyses are evaluated in terms of Michael Banner’s proposal that moral theology should more assiduously converse with ‘patient ethnographic study’, which the survey instantiates to some extent. Banner’s proposal and the results of the survey are contrasted to Peter Singer’s analytical moral philosophical dictums on end of life care. The results are also compared to a metastudy by Rodr{\'i}guez-Prat and van Leeuwen of fourteen ethnographic studies of those who wish to hasten death at the end of life. We conclude that respondents exemplify a form of moral reasoning that: is embedded within Christian spirituality; counters the assumptions of Singer’s approach; contrasts the diminishment of ‘meaning’ at the end of life, as seen in Rodr{\'i}guez-Prat and van Leeuwen; and deserves further respectful ethnographic study.",
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