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1

Frezza, Eldo E. The Moral Distress Syndrome Affecting Physicians. Productivity Press, 2020. http://dx.doi.org/10.4324/9781003034766.

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Ulrich, Connie M., and Christine Grady, eds. Moral Distress in the Health Professions. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-64626-8.

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3

Graeb, Fabian. Ethische Konflikte und Moral Distress auf Intensivstationen. Springer Fachmedien Wiesbaden, 2019. http://dx.doi.org/10.1007/978-3-658-23597-0.

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4

Jones-Bonofiglio, Kristen. Health Care Ethics through the Lens of Moral Distress. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-56156-7.

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5

Oltramari, Vitor Ugo. O dano moral na ruptura da sociedade conjugal. Editora Forense, 2005.

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6

Rufino, Regina Célia Pezzuto. Assédio moral no âmbito da empresa. LTr, 2006.

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7

Gonçalves, Vitor Fernandes. A punição na responsabilidade civil: A indenização do dano moral e da lesão a interesses difusos. Brasília Jurídica, 2005.

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8

Cliche, Bernard. Le harcèlement et les lésions psychologiques. 2nd ed. Éditions Y. Blais, 2012.

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9

Macedo, Stephen. Diversity and distrust: Moral plurality, civic education, and American liberalism. Poynter Center, Indiana University, 1997.

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10

Carse, Alisa, and Cynda Hylton Rushton. Moral Distress. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.003.0003.

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Moral distress, a response to moral adversity that imperils integrity under conditions of constraint, has been studied for more than three decades. The context of clinical practice, the complexities of healthcare, clinicians’ roles, and broader society, alongside exponential advances in technology and treatment, create circumstances that regularly imperil integrity. These circumstances create the conditions for burnout, disengagement, and imperiled patient care. Specifically, they foster powerlessness, frustration, anger, diminished moral responsiveness, disillusionment, and shame. The cumulat
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11

Frezza, Eldo E. Moral Distress Syndrome Affecting Physicians. Taylor & Francis Group, 2020.

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12

Frezza, Eldo E. Moral Distress Syndrome Affecting Physicians. Taylor & Francis Group, 2020.

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13

Grady, Christine, and Connie M. Ulrich. Moral Distress in the Health Professions. Springer, 2019.

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14

Bamford, Penny. MORAL DISTRESS: AN INABILITY TO CARE. 1995.

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15

Moral Distress in the Health Professions. Springer, 2018.

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16

Jones-Bonofiglio, Kristen. Health Care Ethics Through the Lens of Moral Distress. Springer International Publishing AG, 2020.

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17

Cherny, Nathan I., Batsheva Werman, and Michael Kearney. Burnout, compassion fatigue, and moral distress in palliative care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0416.

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Clinicians involved in the provision of palliative care constantly confront professional, emotional, and organizational challenges. These challenges can make clinicians vulnerable to experiencing one or more of three well-described interrelated syndromes-burnout, compassion fatigue, and moral distress-each of which can lower the threshold for the development of the others. Burnout results from stresses that arise from the clinician’s interaction with the work environment, compassion fatigue evolves specifically from the relationship between the clinician and the patient, and moral distress is
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18

Jones-Bonofiglio, Kristen. Health Care Ethics Through the Lens of Moral Distress. Springer International Publishing AG, 2021.

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19

Ethics in Everyday Places: Mapping Moral Stress, Distress, and Injury. The MIT Press, 2017.

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20

Caplan, Arthur L., and Tom R. Koch. Ethics in Everyday Places: Mapping Moral Stress, Distress, and Injury. MIT Press, 2018.

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21

Koch, Tom. Ethics in Everyday Places: Mapping Moral Stress, Distress, and Injury. MIT Press, 2018.

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22

Koch, Tom. Ethics in Everyday Places: Mapping Moral Stress, Distress, and Injury. MIT Press, 2018.

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23

Ethics in Everyday Places: Mapping Moral Stress, Distress, and Injury. MIT Press, 2022.

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24

Rushton, Cynda Hylton, ed. Moral Resilience. 2nd ed. Oxford University PressNew York, 2024. http://dx.doi.org/10.1093/oso/9780197667149.001.0001.

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Abstract Suffering is an unavoidable reality in healthcare. Patients and families suffer as well as the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of healthcare. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians’ integrity, the inner harmony that arises when values and commitments are aligned with their choices and actions. The most studied re
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25

Graeb, Fabian. Ethische Konflikte und Moral Distress auf Intensivstationen: Eine quantitative Befragung von Pflegekräften. Springer, 2018.

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26

Berufsverbleib von Auszubildenden in der Pflege: Der Einfluss von Moral Distress und arbeitsbezogenem Kohärenzgefühl. Springer, 2020.

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27

Rushton, Cynda Hylton, ed. Moral Resilience. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.001.0001.

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Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions that challenge their moral foundations. Moral suffering is the anguish that arises occurs in response to moral adversity that challenges clinicians’ integrity: the inner harmony that arises when their essential values and commitments are aligned with t
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28

Frezza, , MBA, FACS, Eldo E. Moral Distress Syndrome Affecting Physicians: How Current Healthcare Is Putting Doctors and Patients at Risk. Productivity Press, 2020.

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29

Frezza, , MBA, FACS, Eldo E. Moral Distress Syndrome Affecting Physicians: How Current Healthcare Is Putting Doctors and Patients at Risk. Productivity Press, 2020.

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30

Frezza, , MBA, FACS, Eldo E. Moral Distress Syndrome Affecting Physicians: How Current Healthcare Is Putting Doctors and Patients at Risk. Productivity Press, 2020.

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31

Frezza, , MBA, FACS, Eldo E. Moral Distress Syndrome Affecting Physicians: How Current Healthcare Is Putting Doctors and Patients at Risk. Productivity Press, 2020.

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32

Porter, James A. My Country in Distress: Poems About the Social, Moral and Political Issues in the United States. Trafford Publishing, 2007.

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33

Rushton, Cynda Hylton. Mapping the Path of Moral Adversity. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.003.0004.

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An alternative path for addressing moral adversity and the resultant moral suffering engages the focal points in a cycle of imperiled integrity in response to moral harms, wrongs, failures, or other forms of moral adversity. Initially moral stress, a neutral state of readiness to respond that will eventually involve an appraisal as positive or negative, may be experienced. Depending on this appraisal and individual capabilities, moral stress may be rebalanced, released, or resolved, engaging our moral resilience to proactively or prospectively respond to moral adversity. Alternatively, when th
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34

Rushton, Cynda Hylton. Introduction. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.003.0001.

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This introductory chapter covers the book editor’s personal and professional journey to provide the background for the book. The contours of the book are outlined. They include the nature of moral suffering and illustrate moral distress as a type of moral suffering. A pathway for examining moral adversity as the instigator of moral stress, which unrelieved can lead to moral suffering including moral distress, moral outrage and moral injury and the role of moral resilience including moral repair is outlined. The concept of integrity as the core of moral resilience and the dimensions of resilien
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35

Batson, C. Daniel. What We’re Looking For. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190651374.003.0002.

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Whether a search for altruism is worth pursuing depends on what is meant by altruism. In recent years, seven different things have been called altruism. Four refer to specific forms of behavior, not to our motivational concern: (a) helpful behavior, (b) helping behavior, (c) high-cost helping, and (d) moral behavior. Three refer to motivation rather than behavior, but the first two of these view altruism as a special case of egoism: (e) helping in order to gain internal rather than external rewards and (f) helping in order to reduce one’s own distress caused by witnessing another’s distress. T
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36

Webber, Jonathan. The Future of Existentialism. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198735908.003.0011.

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This chapter argues that existentialism, as this book has articulated it, has the potential to make significant contributions to moral thought, philosophy of mind, social psychology, and psychotherapy, and that sophisticated engagements with these areas of inquiry should in turn refine existentialism. The existentialist theory of project sedimentation is an important perspective on the development of personal character, the socialization of the individual, the role of endorsement in mental life, the origins of unendorsed biases and stereotypes, and the social problems and psychic distress that
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37

Le sofferenze morali nella visione giuridica romana. Satura Editrice, 2011.

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38

Ing, Michael D. K. The Sorrow of Regret. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190679118.003.0004.

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This chapter and the next chapter describe the role of regret in early Confucian thought. In light of the previous two chapters, this chapter demonstrates that moral distress in early Confucian texts is best understood in terms of regret. The chapter begins by characterizing regret with regard to sorrow, resentment, and a longing for things to be otherwise and then demonstrates the ways in which the moral agent sorrows over his inability to tend to values in difficult situations. More specifically, it examines portrayals of Kongzi as he strives (and fails) to bring about the Confucian dao道‎. I
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39

Ferdowsian, Hope. Ethical Problems Concerning the Use of Animals in Psychiatric Research. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.16.

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A central dilemma in psychiatric research with nonhuman animals involves the recognition that they are capable of subjective experiences, including fear, distress, suffering, and some forms of psychopathology. These characteristics typically confer a high degree of moral protection since they seriously compromise an organism’s well-being. However, although intentionally inducing serious psychological harms in humans would be considered ethically impermissible, there is less attention to the scope and magnitude of harms imposed on nonhuman animals during the process of experimental justificatio
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40

Douglas, A. E. Cicero: Tusculan Disputations II and V. Liverpool University Press, 1989. http://dx.doi.org/10.3828/liverpool/9780856684333.001.0001.

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The Fifth Tusculan Disputation is the finest of the five books, its nearest rival being the First. The middle three books, represented in this edition by the Second, are, as the author clearly intended, less elevated, though still showing Cicero's flair for elegant and lively exposition, and providing much valuable information about the teaching of the main Hellenistic philosophical schools, especially the Stoics. They argue that the perfect human life, or complete human well-being, that of the 'wise man', is unaffected by physical and mental distress or extremes of emotion. Against this backg
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41

Josephson, Allan M. Ethical Issues Related to Religious Considerations in Psychiatric Diagnosis. Edited by John R. Peteet, Mary Lynn Dell, and Wai Lun Alan Fung. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190681968.003.0004.

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Diagnosis in psychiatry connotes thoroughly knowing the patient. This diagnostic approach of necessity includes consideration of the patient’s religious, spiritual, and worldview perspectives and commitments. This chapter reviews the clinical relevance of these considerations in dealing with moral distress, a loss of meaning, concerns about autonomy in relation to authority, and disordered behavior (e.g., personality disorders, conduct disorder). As the basis for effective treatment, diagnosis has important ethical implications. Harmful misdiagnosis can result from a truncated view of the pers
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42

Kerr, Aaron K. Mediations between Nature and Culture. The Rowman & Littlefield Publishing Group, 2022. https://doi.org/10.5040/9781666994872.

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This book explores the placement of human beings, a “betweenness” that elicits the fact that human communication is the mediation between one’s intellectual, moral, and political experience. Aaron K. Kerr explores the relationship between nature and culture, exposing the obscurities caused by technology and economic dogmatism. A renewal of the mediatory role of human communication is juxtaposed to the immediacy of digital consumption. The author reveals that to redress ecological distress, there must be an equal awareness, sense of place, and regional responsibility for built environments whic
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43

Gopin, Marc. Compassionate Reasoning. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780197537923.001.0001.

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This book presents the case for Compassionate Reasoning as a moral and psychosocial skill for the positive transformation of individuals and societies. It has been developed from a reservoir of moral philosophical, cultural, and religious wisdom traditions over the centuries, combined with compassion neuroscience, contemporary approaches to conflict resolution, public health methodologies, and positive psychological approaches to social change. There is an urgent need for human civilization to invest in the broad-based cultivation of compassionate thoughts, feelings, and especially habits. Thi
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44

Diversity and Distrust: Civic Education in a Multicultural Democracy. Harvard University Press, 2000.

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45

Diversity and Distrust: Civic Education in a Multicultural Democracy. Harvard University Press, 2003.

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46

Ing, Michael D. K. The Invulnerability of Integrity. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190679118.003.0003.

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This chapter examines arguments for invulnerability made by contemporary interpreters working with Confucian material. It begins by situating discourses of invulnerability within the broader field of philosophical ethics. In these discussions, the vulnerability or invulnerability of integrity often falls under the rubric of value conflicts, moral remainder (or residue or distress), and dirty hands. This chapter begins with an overview of this discourse, which serves as a backdrop for discussing how contemporary scholars of Confucian ethics discuss the invulnerability of integrity. The majority
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47

Macauley, Robert C. Final Thoughts (DRAFT). Edited by Robert C. Macauley. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.003.0019.

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It is not enough to know how to respond to ethical dilemmas in palliative care. Sufficient resources are required to implement the nuanced approach to ethical dilemmas presented in this textbook. In the developed world, there exists a profound shortage of palliative care clinicians, as well as regulatory barriers which may impede the provision of optimal palliative care. The situation is far more serious in the developing world, where access to symptomatic medications may be severely restricted due to lack of economic resources or bureaucratic barriers. Even when a qualified team is available
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48

Blair, R. J. R. The Developing Moralities. Edited by Philip David Zelazo. Oxford University Press, 2013. http://dx.doi.org/10.1093/oxfordhb/9780199958474.013.0005.

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This chapter will make five claims regarding the development of morality. First, there are at least three, computationally distinct forms of social norm: victim-based, disgust-based, and social conventional. All three can be referred to as moral (although not all individuals place all of these categories of norm within their domain of morality). Second, these three forms of norm develop because of the existence of specific emotion-based learning systems (victim-based reliant on an emotional response to distress cues, disgust-based reliant on an emotional response to disgusted expressions, and
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49

Eisenberg, Nancy, Tracy L. Spinrad, and Amanda S. Morris. Prosocial Development. Edited by Philip David Zelazo. Oxford University Press, 2013. http://dx.doi.org/10.1093/oxfordhb/9780199958474.013.0013.

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In this chapter, we distinguish between different forms of empathy-related responding (i.e., empathy, sympathy, personal distress) and prosocial behavior. The capacity for empathy and sympathy emerges in the early years of life and generally increases with age across childhood. Individual differences in sympathy and prosocial behavior covary, and both tend to be fairly stable across time. Prosocial tendencies are related to prosocial moral reasoning, social competence, self-regulation, and low aggression/externalizing problems. Although individual differences in prosocial and empathic/sympathe
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50

Tapias, Maria. Conclusion. University of Illinois Press, 2017. http://dx.doi.org/10.5406/illinois/9780252039171.003.0007.

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This book has investigated how Bolivian market and working class women suffered from emotional distress wrought by the social and economic changes of the 1990s due to neoliberal reforms. Focusing on the stories of women in Punata, it has shown how neoliberalism and its moral dimensions transformed bodies into new sites of consumption, desire, and aspiration, which must contend with the social mores that piece together sociality. The findings of this book add to the scholarship on emotions, embodiment, and social suffering in the Andes by highlighting the ways in which intimate narratives of ma
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