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Extraversion, neuroticism, immoral judgment and criminal behaviour.

The present study examines delinquent behaviour by integrating two approaches until now employed separately: Eysnck's theory linking delinquency to extraversion and neuroticism, and Kohlberg's theory of moral development and its connection to moral behaviour. The study analyzes the relations between extraversion, neuroticism and moral judgment, as well as their independent and/or interactive effect upon the development of anti-social behaviour. The relationships are tested by retrospective measurements of personality traits and moral judgment in three groups: delinquency (N = 203), control (N = 82) and comparative (N = 407) groups. Findings show that criminals are higher than control subjects in neuroticism and immoral judgment but not in extraversion. Similar relationships were found between criminals and the comparative group, with one exception: here extraversion was found to be positively related to delinquency, both independently and interactively with neuroticism. The implications of these results for differential development of anti-social behaviour are discussed.

Antisocial Personality Disorder↗

Explanatory limitations of cognitive-developmental approaches to morality.

In response to Gibbs' defense of neo-Kohlbergian models of morality, the authors question whether revisions in Kohlberg's model constitute a coherent refinement of the cognitive-developmental approach. The authors argue that neo-Kohlbergian measures of moral development assess an aspect of morality (the most sophisticated forms of moral reasoning available to people) that plays a relatively minor role in determining the moral judgments and behavioral decisions people make in their everyday lives. Attempts to conceptualize stages as schema and to redefine moral decision-making in terms of automaticity will not solve these problems. Flexibility is an important aspect of moral maturity. Observed relations between stages of moral development and various forms of social conduct do not establish that the structures of moral reasoning that define stages of moral development exert a significant causal impact on moral behavior. Although cognitive-developmental approaches are equipped to account for some aspects of morality, a more general framework that organizes the insights from other theoretical approaches is needed.

Automatism↗

[Significance of parent-child relations for development of moral reasoning in adolescence: a study of psychiatrically disordered adolescents].

In accordance with structural-developmental theory in the tradition of Piaget and Kohlberg, moderate amounts of conflict between adolescents and their parents should influence the sociomoral development of the adolescents in an optimal way. The same hypothesis is compatible with a social-constructivistic approach (Youniss, Keller, Haan, Miller), which emphasizes the role of communicative processes in the development and validation of moral rules. The results of our empirical study with 43 severely mentally disturbed adolescents aged 14 to 19 years indirectly confirm this hypothesis. Adolescents with moderate amounts of family conflict reached a higher stage in moral reasoning than those with either very severe problems or only minor problems with their parents. In an additional analysis we investigated the relation between the severity of the conflicts and the emotional attachment of the adolescent to his or her parents. Our data indicate that moderate problems in the interaction between child and parents are associated with a family atmosphere that seems to facilitate the development of an integrated personality and identity. A balanced coexistence of separateness and connectedness offers the young person the best chance to develop and clearly communicate his or her own point of view and to solve interpersonal problems by reaching a consensus that takes into account the needs and interests of the other family members.

Adolescent↗

The Anne Frank Haven in an Israeli Kibbutz.

The Anne Frank Haven, founded in 1956, in the Israeli Kibbutz Sasa provides a unique educational program for coping with muticultural and integration problems. It is a holistic, regional junior and senior high school system within the holistic community of three kibbutzim. The Haven has been the subject of much research into "Moral Development," carried out by Wolins (1969, 1971), and mainly by Kohlberg (1971), his doctoral students Reimer and Snarey and other colleagues. In the seventies and eighties they used the Kibbutz example as a model for the "Just Community" approach. In the early nineties, an Israeli group evaluated the success of the program and its rationale, taking into consideration all the "educational factors" of the community, in the Haven, and in the kibbutzim around it. This article offers a comprehensive picture of the Kohlbergian moral-developmental research at the Anne Frank Haven, including all the relevant references and evaluations of the Haven as a part of the "Just Community" approach. It concludes with a suggestion for another approach--"Community Education" research in the same Haven--as an example of present and future studies in the area of "Moral" and "Values" education.

Acculturation↗

Family processes as predictors of adolescents' preferences for ascribed sources of moral authority: a proposed model.

This paper develops a model of the family's role in the moralization of the adolescent. To achieve this aim, the Circumplex Model of Marital and Family Systems (Olson, Sprenkle, & Russell, 1979; Olson, 1983) provides the theoretical framework needed to identify levels of adaptability, cohesion, and communication within each family system. Once identified, these family processes are treated as possible predictors of certain moral preferences, in particular, the number and type of sources of moral authority held by the adolescent. The notion "source of moral authority" is based on Henry's (1983) reconceptualization of Kohlberg's stage theory of moral judgments. In light of this, a new measure, the Moral Authority Scale (MAS) has been developed to assess such adolescent preferences for different sources of moral authority. Overall, this unique approach identifies salient family processes as influencing adolescent moral reasoning by drawing together systems theory, cognitive developmental, and psychosocial approaches and generating testable predictions. In so doing, research needs and inadequacies of the current literature are highlighted and possible strategies to overcome such problems are explicated.

Adolescent↗

Empirical ethics in action: lessons from two empirical studies in nursing ethics.

Despite the burgeoning of publications in nursing ethics, only more recently has empirical evidence on nursing ethics been published. How nursing ethics can be empirically studied as well as enriched by empirical data will be the focus of this paper. Two empirical studies will be briefly presented and their contribution to ethics discussed. The first one is a quantitative research project about nurses' ethical behavior in daily practice. Using an adapted version of Kohlberg's theory of moral development, this study tried to describe and explore nurses' responses to ethical dilemmas in daily nursing practice. The second study attempted to describe the specificity of residential palliative care. A qualitative approach was used to explore and describe the processes that take place on an inpatient palliative care unit, and the experiences of patients, relatives and palliative care team members. The analysis of the value of both research projects for ethics underlines the power of empirical understanding in the relationship between research and ethics. The need for integration of both qualitative and quantitative research methodologies is argued.

Cultural Diversity↗

Tom, Huck, and Oliver Stone as advocates in Kohlberg's just community: theory-based strategies for moral education.

Kohlberg's studies of moral reasoning provide a good theoretical framework for describing the developmental process that may serve as the basis for programs of moral education for adolescents. Kohlberg viewed moral education, particularly during adolescence, as the stimulation of the natural developmental process which leads to mature moral reasoning. Building on Kohlberg's work, specifically his concept of the just community approach where the teacher and more advanced peers serve as advocates of mature moral reasoning, this article presents the educator with a theoretical rationale for implementing procedures that can foster moral development. A case is made for using contemporary films and literature as mechanisms for stimulating moral development among adolescents.

Adolescent↗

A psychological model that integrates ethics in engineering education.

Ethics has become an increasingly important issue within engineering as the profession has become progressively more complex. The need to integrate ethics into an engineering curriculum is well documented, as education does not often sufficiently prepare engineers for the ethical conflicts they experience. Recent research indicates that there is great diversity in the way institutions approach the problem of teaching ethics to undergraduate engineering students; some schools require students to take general ethics courses from philosophical or religious perspectives, while others integrate ethics in existing engineering courses. The purpose of this paper is to propose a method to implement the integration of ethics in engineering education that is pedagogically based on Kohlberg's stage theory of moral development.

Curriculum↗

An adjusted version of Kohlberg's moral theory: discussion of its validity for research in nursing ethics.

Critics of Kohlberg's moral theory today focus on the content of his theory and more specifically on its justice-orientated moral concept. This has led to the well-known 'justice-care debate'. The purpose of this article is to critically examine the validity of Kohlberg's moral theory for research in nursing ethics from a caring perspective (referring to the content) as well as from a cognitive-structural perspective (referring to the basic assumptions of the model). The analysis points to the usefulness and value of the cognitive-structural model to empirically study nurses' ethical behaviour; the content of Kohlberg's model, however, needs to be adapted by adding a caring perspective as well as some personal and situational variables. An adjusted version of Kohlberg's model is proposed and discussed.

Cognition↗

Ethical responsibilities in nursing: research findings and issues.

Discussions in the literature assert that nurses are becoming increasingly cognizant of their ethical responsibilities, but that they are often ill prepared to participate in ethical decision making. A review of selected research literature from 1970 to 1987 was undertaken to validate these assertions. A total of 12 studies related to ethical responsibilities was identified in the review; all studies were published between 1980 and 1987. The majority of studies were at the descriptive and exploratory levels and employed Kohlberg's cognitive theory of moral development as their conceptual framework. Significant findings related to educational level and ethical responsibilities were consistent across studies. Findings related to age and clinical experience were mixed; the effects of economic level, religion-religiosity, ethnicity, and other variables on ethical responsibilities were not significant. Issues raised in the light of the existing research include the use of Kohlberg's theory as a conceptual orientation in nursing groups and limited data on the reliability and validity of instruments used in measuring ethical constructs. Recommendations for future research on ethical responsibilities include the validation of Kohlberg's theory for nursing investigations, exploration of other frameworks for developing a multidimensional view of ethical responsibilities, and the use of qualitative research designs.

Behavioral Research↗

Individual differences in moral development: the relation of sex, gender, and personality to morality.

Individual differences in moral development are examined, with a particular emphasis on sex and gender differences. This examination includes an extensive review of the empirical and theoretical literature in psychology on morality. Based on this review, it is concluded that sex differences occur with less frequency and with a less systematic favoring of males than is predicted by several theories of moral development. In addition, a study is presented which considers the relation of sex, gender, and personality to morality. Two age cohort samples, college sophomores (n = 169) and adults (n = 151), were assessed with the moral judgment scale of the cognitive-developmental model (Kohlberg, 1984) and a newly developed moral character template of the personological model (Lifton, in press). Participants also completed the CPI and MMPI personality inventories. Results of the study indicate (1) the absence of sex differences for either model, (2) the presence of gender differences favoring masculine persons for the cognitive-developmental but not personological model, and (3) that individual differences in moral development parallel individual differences in personality development. The implications of these findings are discussed with regard to Gilligan's (1982) claim that men and women differ in their moral orientations. Finally, it is argued that an individual difference approach, particularly one that emphasizes personality, would prove useful for future research on moral development.

Adult↗

Applying neopiagetian theory to the moral reasoning process.

This study examined moral reasoning process and patterns of skills underlying a moral dilemma through use of K. W. Fischer's theory for cognitive skill acquisition. Kohlberg's Heinz dilemma issues of life and law were hypothesized as scalable within task-domains pertaining to Familial Relationships, Sickness/Death, Laws/Rules, and Fairness. 80 4- to 12-yr.-olds were interviewed regarding these issues. Guttman scale analyses examined scalability of their responses to items in each task and skill domain. Guttman coefficients validated task-domain scales of Laws/Rules and Fairness. Other scale coefficients approached validity. A revised scale is proposed for study.

Attitude to Death↗

Moral orientation of elderly persons: considering ethical dilemmas in health care.

Knowledge about moral development and elderly persons is very limited. A hermeneutical interpretative study was conducted with healthy elderly persons (n = 20) in order to explore and describe their moral orientation based on the paradigms of justice (Kohlberg) and care (Gilligan). The types of moral reasoning, dominance, alignment and orientation were determined. All but one participant included both types of reasoning when discussing an ethical conflict. None of the men's moral reasoning was dominated by caring, but justice dominated the reasoning of four women. The implications for ethical decision-making and future research are discussed.

Aged↗

Nursing students' responses to ethical dilemmas in nursing practice.

In literature as well as in nursing practice a growing concern about nurses' ethical competence can be observed. Based on the cognitive theory of moral development by Kohlberg, this research examined nursing students' ethical behaviour in five nursing dilemmas. Ethical behaviour refers not only to the ethical reasoning of nursing students but also to the relationship between reasoning and behaviour. Kohlberg's definition of morality was refined by adding a care perspective. The results show that the majority of students can be located in the fourth moral stage according to Kohlberg's theory, that is, the conventional level of moral development. This finding implies that students are still guided by professional rules, norms and duties, and have not (yet) succeeded in making personal ethical decisions on the basis of their own principles and acting according to such decisions.

Adolescent↗

Rethinking moral reasoning theory.

Many nursing studies on moral reasoning and ethics have used Kohlberg's theory of moral development. The body of knowledge that resulted from these studies indicated that nurses and nursing students had consistently lower than expected levels of moral reasoning. Educational offerings were developed to assist nurses to improve their moral reasoning. This article explores the cognitive-developmental theory of moral development as one way of determining the moral development of nurses. Since this theory of moral reasoning focuses on the rational thought of the individual and does not consider the impact of the environment, it is of limited applicability in nursing. A new theory of morality needs to be developed--a more holistic one that will include both universal principles and contextual tissues.

Cognition↗

A longitudinal study on the development of moral judgement in Korean nursing students.

This longitudinal study examined the development of moral judgement in 37 nursin students attending a university in Suwon, Korea. The participants completed the Korean version of the Defining Issues Test to allow analysis of their level of moral judgement. The development of moral judgement was quantified using 'the moral development score' at each stage (i.e. the six stages detailed by Kohlberg) and the 'P(%) score' (a measure of the overall moral judgement level). The results were as follows: (1) the moral development score for stage 5A was consistently the highest across the four years of the students' course, showing significant differences in some sociodemographic factors including home, birth order and monthly income; and (2) the P(%) score was higher in fourth-year (47.47 +/- 11.21) than in first-year (46.13 +/- 9.73) students. There was no significant difference in the P(%) score according to sociodemographic factors. Further studies will examine in detail the correlation between curriculum and moral judgement development. We suggest that courses in ethics education should be made more relevant.

Data Collection↗

Partial and impartial ethical reasoning in health care professionals.

OBJECTIVES: To determine the relationship between ethical reasoning and gender and occupation among a group of male and female nurses and doctors. DESIGN: Partialist and impartialist forms of ethical reasoning were defined and singled out as being central to the difference between what is known as the "care" moral orientation (Gilligan) and the "justice" orientation (Kohlberg). A structured questionnaire based on four hypothetical moral dilemmas involving combinations of (health care) professional, non-professional, life-threatening and non-life-threatening situations, was piloted and then mailed to a randomly selected sample of doctors and nurses. SETTING: 400 doctors from Victoria, and 200 doctors and 400 nurses from New South Wales. RESULTS: 178 doctors and 122 nurses returned completed questionnaires. 115 doctors were male, 61 female; 50 nurses were male and 72 were female. It was hypothesised that there would be an association between feminine subjects and partialist reasoning and masculine subjects and impartialist reasoning. It was also hypothesised that nurses would adopt a partialist approach to reasoning and doctors an impartialist approach. No relationship between any of these variables was observed.

Attitude of Health Personnel↗

Caring in nursing: a different interpretation.

AIM: To apply Habermas' (1995) Theory of Moral Consciousness and Communicative Action to the nurse-patient relationship, offering a different interpretation to the nurse-patient relationship that is caring in nursing. RATIONALE: Many authors have described the nurse-patient relationship, but Habermas' theory synthesizes the components into a complex matrix that is caring in nursing. FINDINGS: The theory offers three claims to normative validity: the claim to truth which is the factual objective knowledge; the claim to truthfulness which refers to the intrasubjective self; and the claim to right which is the intersubjective interaction. The validity claims explain the patient's personal and illness self, the nurse's personal and professional self, and the interaction/discourse. The interaction is situation specific, and is identified as moral because dialogue/discourse requires a 'considerateness' of each for the other. 'Considerateness' in discourse requires certain rules, including that each participant has an equal voice, be followed in order for the Principle of Universalization to occur. Habermas draws on Kohlberg's (1981), and Selman's (1980) work to develop three levels of moral maturity of communication. These are preconventional, conventional, and postconventional. Initial moral maturity is egocentric, subjective, and obedient to authority. Maturity develops with recognition of other and reciprocity. At the postconventional level there is mutuality and the ability for abstract reasoning. There is a third person objectivity combining speaker and addressee/listener perspectives. Norms are not just accepted, they are reasoned through. This leads to justification of the norm, which is then accepted as valid. When the three validity claims are met and there is genuine 'considerateness' in the interaction there is communicative action. The reverse is strategic action, where the communication is coercive. When there is communicative action both patient and nurse are validated with a sense of fulfillment or . CONCLUSION: Habermas' (1995) theory offers a new paradigm for caring in nursing.

Consciousness↗