The Irish health system is confronted by a range of challenges, both emerging and recurring. In order to address these, it is essential that spaces are created for conversations around complex ethical and legal issues. This collection aims to provide a basis for ongoing engagement with selected issues in contemporary Irish health contexts. It includes contributions from scholars and practitioners across a range of disciplines, most particularly, ethics, law and medicine. The focus of the collection is interdisciplinary and the essays are situated at the intersection between ethics, law and medicine. Important issues addressed include admission to care homes; assisted suicide; adolescent decision-making; allocation of finite resources; conscientious objection; data protection; decision-making at the end of life; mental health; the rights of older people; patient responsibilities; stem cell research; the role of carers; and reproductive rights. From these discussion, the collection draws out the following interlinking themes, addressing difference; context and care; oversight and decision-making; and, regulating research. The essays are theoretically informed and are grounded in the realities of the Irish health system, by drawing on contributors’ contextual knowledge. This book makes an informed and balanced contribution to academic and broader public discourse.
, ‘Perhaps recognizing the centrality
Crossing borders and queering citizenship
of the Caribbean to the core structure of the Dominican experience,
Díaz owns his regional descent in a manner that makes him into a
kind of American to whom the Antillean world matters at the level
of existential immediacy’.8 At its core, The Brief Wondrous Life of
Oscar Wao allows readers to reflect on the hybridity of contemporary
American literature, offering them routes to conceiving of citizenship
as an archipelago of rightsandresponsibilities, or status and habitus,
a combination of characteristics unobtainable by people outside the diaspora.
In order to grasp the breadth of the issues involved, we need an introduction
to the key concepts that inform them: citizenship, ‘race’ and racialisation, and
the state. After discussing those concepts, I suggest that the Citizenship Act
(2005) racialised Irish nationality: i.e. it gave primary preference to bloodlines
as its principal criterion for belonging, thus dividing Irish children into two
categories with differential access to the rightsandresponsibilities accruing to
Civic engagement and
This chapter examines the level of active citizenship in prison and,
similar to the last chapter, is based on the interviews with 50 prisoners.
Recognising that citizenship encompasses more than just rightsandresponsibilities but is intertwined with participation, it considers their
activities prior to imprisonment, the opportunities for participative citizenship behind bars and outlines some reasons for involvement in what
are characterised as citizenship activities inside. The chapter concludes
Transport of Wounded: Two Wounded Serbians Brought Down
from the Mountains’, Illustrated London
News , 149, 4043, 14 October 1916.
Balancing the contracts
Pivotal to recruitment was the
contracts offered to the muleteers, which defined their rightsandresponsibilities, and those of the British. In all, three different
Liberalism and liberalisation in the niche of nature, culture, and technology
Freedoms : Kelly and Reid, 1998 : 199)
Obviously, as we approach multiple nuanced notions of freedom,
individuals, rights, andresponsibilities in translation, Victorianists must defer to
linguists in specific area studies. Yet as we study the processes of transculturation, we
may conclude with one of the more productive articulations of nineteenth-century western
philosophy, the idea of human underdetermination.
This idea has held that there is no essence of
Royal Tourists, Colonial Subjects, and the Making of a British World, 1860-1911 examines the ritual space of nineteenth-century royal tours of empire and the diverse array of historical actors who participated in them. The book is a tale of royals who were ambivalent and bored partners in the project of empire; colonial administrators who used royal ceremonies to pursue a multiplicity of projects and interests or to imagine themselves as African chiefs or heirs to the Mughal emperors; local princes and chiefs who were bullied and bruised by the politics of the royal tour, even as some of them used the tour to symbolically appropriate or resist British cultural power; and settlers of European descent and people of colour in the empire who made claims on the rights and responsibilities of imperial citizenship and as co-owners of Britain’s global empire. Royal Tourists, Colonial Subjects, and the Making of a British World suggests that the diverse responses to the royal tours of the nineteenth century demonstrate how a multi-centred British-imperial culture was forged in the empire and was constantly made and remade, appropriated and contested. In this context, subjects of empire provincialized the British Isles, centring the colonies in their political and cultural constructions of empire, Britishness, citizenship, and loyalty.
lost … should be a major priority
for future progress along the Third Way’, 2 while community is
one of the four values placed by Tony Blair at the heart of his
Third Way. 3
Linked to the idea of community is the doctrine of
communitarianism, which appears in a number of forms. The prominent
juxtaposition of rights and duties, or rightsandresponsibilities
the arguments for and against involuntary admission in the
person’s ‘best interests’.
Quasi-voluntary admission to nursing homes
There are a number of aspects– each on a continuum from the acceptable
to the unacceptable– to decision-making in such cases that might call into
DONNELLY 9780719099465 PRINT.indd 117
uestion the voluntariness of the person’s decision to go into a nursing home.
These include lack of involvement in planning, lack of choice and pressure
Lack of involvement in
Patient autonomy and responsibilities within
the patient–doctor partnership: two sides of
the same unequal coin?
Asim A. Sheikh
The autonomous patient has the ability to engage with a healthcare provider in
relation to his or her health on a wide range of issues. This ability and control
are central to a patient’s autonomy and self-determination. This chapter will
consider whether this ability confers both rightsandresponsibilities upon
patients. It asks whether the language and idea of the healthcare provider and
healthcare receiver (‘doctor