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Human dignity : establishing worth and seeking solutions
This book examines the concept of dignity from a variety of global perspectives. It scrutinizes how dignity informs policy and practice, and is influenced by international and domestic law, human rights values, and domestic politics. An exciting collection of essays, this edited volume provides an analysis of human rights as they are experienced by real people who have in many cases been forced to take action to further their own interests. Readers will discover an extensive range of issues discussed, from the internet, climate change and disabilities, to globalization, old-age, and migrants' rights. The last section deals with the impact of various issues on indigenous and migrant populations, specifically violence in Columbia, border issues in Tijuana, women's and children's rights violations, and the complex problems experienced by refugees, particularly in regards to citizenship. The interdisciplinary nature of this work makes it an invaluable read for scholars of Health Studies, Law, Human Rights, Sociology and Politics.
Book
Dignity in Medicine: Definition, Assessment and Therapy
Purpose of Review
Over the last 20 years, dignity and dignity-conserving care have become the center of investigation, in many areas of medicine, including palliative care, oncology, neurology, geriatrics, and psychiatry. We summarized peer-reviewed literature and examined the definition, conceptualization of dignity, potential problems, and suggested interventions.
Recent Findings
We performed a review utilizing several databases, including the most relevant studies in full journal articles, investigating the problems of dignity in medicine. It emerged that dignity is a multifactorial construct and that dignity-preserving care should be at the center of the health organization. Dignity should be also regularly assessed through the tools currently available in clinical practice. Among dignity intervention, besides dignity models of care, dignity intervention, such as dignity therapy (DT), life review and reminiscence therapy, have a role in maintaining both the extrinsic (preserved when health care professionals treat the patient with respect, meeting physical and emotional needs, honors the patient’s wishes, and makes attempts to maintain privacy and confidentiality) and intrinsic dignity (preserved when the patient has appropriate self-esteem, is able to exercise autonomy and has a sense of hope and meaning).
Summary
Unified trends across diverse medical contexts highlight the need for a holistic, patient-centered approach in healthcare settings. Challenges compromising dignity are pervasive, underscoring the importance of interventions and systematic efforts to address these issues. Future research and interventions should prioritize the multifaceted nature of dignity, striving to create healthcare environments that foster compassion, respect, and dignity across all medical settings.
Journal Article
‘It’s as if I’m Worth Nothing’—Cost-Driven Restructuring and the Dignity of Long-Term Workers in Finland’s State-Owned Postal Service Company
Organisational restructuring involving cost-cutting, downsizing, and the acquisition and divestment of different functions is an increasingly normalised aspect of employment in both the private and public sectors. This article takes up the question of the effects of restructuring on workers through a study based on in-depth, semi-structured interviews of long-term workers in Finland’s state-owned postal service, using the concept of dignity as an analytical lens. The article distinguishes between everyday, organisational, and social dignity, using this distinction to capture how workers strove to sustain dignity in a process of organisational restructuring that generated dignity threats related to occupational devaluation. The study shows how dignity in postal work has been dependent on a particular historical configuration of public service work involving the employer organisation, employment relations, and occupational values. Cost-driven restructuring has destabilised this configuration, producing a stark separation between dignity in everyday work and the organisational indignities of restructuring in postal workers’ experiences. Feeling unable to affect organisational changes in their work, postal workers have been left to sustain dignity through everyday relationality, and by drawing intra-organisational boundaries to temporary workers and upper managers based on an occupational hierarchy of commitment and competence. The study highlights the significance of organisational support for dignity at work, particularly in relation to the dignity threats generated by prolonged processes of restructuring.
Journal Article
From human dignity to natural law : an introduction
\"An exposition of human dignity as the foundation of moral order. From this starting point, the author derives the most important precepts of natural law from human dignity in a systematic way. Using the principle of human dignity, the author then develops natural law precepts to guide human behavior in various areas of life corresponding to the natural inclinations: life issues, sexual issues, political issues, and the contemplative life\"-- Provided by publisher.
Book
A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
To investigate the perception of dignity among patients hospitalized in a psychiatric setting using the Patient Dignity Inventory (PDI), which had been first validated in oncologic field among terminally ill patients.
After having modified two items, we administered the Italian version of PDI to all patients hospitalized in a public psychiatric ward (Service of Psychiatric Diagnosis and Treatment of a northern Italian town), who provided their consent and completed it at discharge, from October 21, 2015 to May 31, 2016. We excluded minors and patients with moderate/severe dementia, with poor knowledge of Italian language, who completed PDI in previous hospitalizations and/or were hospitalized for <72 hours. We collected the demographic and clinical variables of our sample (n=135). We statistically analyzed PDI scores, performing Cronbach's alpha coefficient and principal factor analysis, followed by orthogonal and oblique rotation. We concomitantly administered to our sample other scales (Hamilton Rating Scales for Depression and Anxiety, Global Assessment of Functioning and Health of the Nation Outcome Scales) to analyze the PDI concurrent validity.
With a response rate of 93%, we obtained a mean PDI score of 48.27 (±19.59 SD) with excellent internal consistency (Cronbach's alpha coefficient =0.93). The factorial analysis showed the following three factors with eigenvalue >1 (Kaiser's criterion), which explained >80% of total variance with good internal consistency: 1) \"Loss of self-identity and social role\", 2) \"Anxiety and uncertainty for future\" and 3) \"Loss of personal autonomy\". The PDI and the three-factor scores were statistically significantly positively correlated with the Hamilton Scales for Depression and Anxiety but not with other scale scores.
Our preliminary research suggests that PDI can be a reliable tool to assess patients' dignity perception in a psychiatric setting, until now little investigated, helping professionals to improve quality of care and patients to accept treatments.
Journal Article