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E-book Manipulating Practices : A critical physiotherapy reader
Consistent with the aims of this book, my intent in this chapter is to outline a critical approach to physiotherapy ethics. However, it would perhaps be more accurate to state that my task is to explicate how any critical work is concerned with ethics. Physiotherapists, like most health professionals, are trained in a narrow version of bioethics that emphasizes juridical rules and top down applica-tion of principles. This training may obscure the link between criticality and ethics. Criticality is by its definition emancipa-tory, dedicated to surfacing “the development and continuation of inequalities in society, especially for those members of society with particular social characteristics, including socio-economic status, gender, sexual orientation, cultural background and dis-ability” (Calhoun, 1995). Thus, doing critical work is also doing the work of ethics (or more precisely, normative ethics) in that it seeks to understand and redress systemic harms perpetrated in contemporary life. The ethics of openness I propose draws from postmodern strands of critical work (“post-critical”) to illumi-nate some of the most entrenched ideas in physiotherapy towards building moral practices.Ethics is concerned with questions of how people ought to act. It is not limited to specific acts and defined moral codes, but encom-passes all actions, practices, ideas, and systems that may be harm-ful or helpful in various ways. It asks questions like: How should people act? What do people think is right? How do we take moral knowledge and put it into practice? And what does “right” even mean? (Mastin, 2008). In what follows, I sketch out the parameters of a post-critical “ethics of openness” for physiotherapy. First, I briefly review the dominant approaches to bioethics and why these are increasingly inade-quate for informing practice. I then review some key parameters of post-critical theory, incorporating an example from children’s rehabilitation, to outline the implications for an open approach to physiotherapy ethics.
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