Browsing by Author "Respess, Shaun"
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- The Ethics of (Dis)connection: Understanding 'Care' Through Phenomena of DespairRespess, Shaun (Virginia Tech, 2021-11-12)This dissertation examines the outbreak of depression in the United States through an ethical lens of care and disconnection. Discussions in bioethics and collaborating fields largely speak of mental health as a series of phenomena attributable to individuals, subsequently using terms like 'disease' and 'disorder' to denote abnormality in those persons affected by distress. Alternatively, I respond to the ongoing "crisis of care" through a critique of neoliberalism and biomedicalization. I argue that widespread despair is the result of a collective way of life wherein persons are detached from fundamental physical and psychosocial needs by nature of fallacious cultural commitments and techniques. I implement constructivism to empirically ground a new application of care ethics to be considered by normative ethicists. In addition to merging several established traditions such as feminist philosophy and the capabilities approach, I also contribute a comprehensive model for understanding basic needs and the distribution of caring responsibilities/roles. Further, the project enhances the field of applied bioethics by featuring a practically-specific relational approach that is built from the experiences of those embedded in daily decision-making. The dissertation critiques the theoretical soundness of psychiatric and psychological classifications and the practical efficacy of prominent solutions such as antidepressant medications and various psychotherapies. I further assert that these depictions of mental health misrepresent the experiences of those affected by depression, and thus share their stories of derealization, isolation, frustration, resentment, and hopelessness through a lens of disconnection. These feelings apply to caregivers as well: the commodification of care alongside of the constraints attached to "professionalism" are used to inhibit their autonomy, exploit their labor, and detach them from relationships with charges and other carers. This leads to issues such as moral distress, burnout, and vicarious traumatization, all of which foster despair. Finally, I respond to these collective concerns with a new framework consisting of an expanded account of fundamental needs and an analysis of "care-abilities": the capabilities one has to meet their needs and to fulfill the needs of others who depend on them. I then supplement this account with a detailed distribution of skills and responsibilities attached to the particular caring roles that one might occupy. This ethical framework is intended to be advisory and malleable to contextual practice rather than prescriptive.
- Going Telemental: Contact and Intimacy in Digital Mental HealthRespess, Shaun (IGI Global, 2022)Telemental health (TMH) is considered by many to be the future of mental healthcare, with some claiming that these methods should replace more traditional approaches. Early teletherapeutic initiatives demonstrate an immediate set of benefits for patients including improved access to care, reduced costs, better schedule flexibility, greater environmental familiarity, and higher rates of patient engagement. Notable limitations to TMH include enhanced privacy concerns, the variable digital literacy of certain populations/persons, and technological instability. However, other limitations regarding therapeutic relationships, experiences, and settings have gone undertheorized and are not sufficiently represented in the current research. This chapter surveys these considerations and argues that digital medical interventions are unable to effectively replicate the same degree of ‘contact' and ‘intimacy' available in physical care; providers should therefore be cautious in wholly replacing in-person methods or in implementing a standalone paradigm of digital care.
- Reinventing Authoritarianism: The Digital and the DonaldRespess, Shaun (Virginia Tech Publishing, 2019-03-28)In Digital Demagogue: Authoritarian Capitalism in the Age of Trump and Twitter, communication and media scholar Christian Fuchs plunges into the depths of new media with an eye for the reemergence of authoritarianism, albeit in a refashioned form, and armed with a rich tradition of well-articulated critical theory. Fuchs presents a clear and explicit question to arm his analysis, namely: What is authoritarian capitalism and how is it communicated through social media? Using the contemporary parameters of the candidacy and presidency of Donald Trump, along with the complex phenomenon that is its supporting ideology, he explores the relationship between political communication and new nationalism to expose the dangerous marriage between authoritarianism and capitalism in prominent positions of power. This review charts Fuchs’s unique journey through critical theory and digital texts while responding to its ambitions both as a revitalized account of the critical theory tradition and as a cautionary tale of contemporary political movements. I primarily present his book as a sobering examination of the problematic entanglement of radical capitalism, authoritarian politics, and rapid communication strategies while remaining optimistic that it will influence several scholars to apply his theories as a potential strategy for positive liberation and/or contestation moving forward.