Abstract
Protecting the vulnerable is recognized as important; but who is vulnerable and what protections are needed? Six definitions of vulnerability are found in the literature: human finitude, an incapacity to defend one’s own interests, fragility, barriers to health, list-based definitions, and layered vulnerability. Because none of these definitions adequately captures cases where particular vulnerability might exist, we proposed to define vulnerability as an increased risk of being wronged or having our morally protected interests unjustly considered. In applying this definition to old age, many forms of vulnerability both within medicine and in everyday life are revealed. These vulnerabilities can form clusters: Ordinary protections and practices are developed for the situations that, for various reasons, are considered to be the most important or the most “normal” in a given society. Rather than being a misfortune that we may have some duty to compensate, such situations represent a direct consequence of our collective actions: We are committing wrongs and have a much stronger duty to correct this.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bozzaro, C., Boldt, J., & Schweda, M. (2018). Are older people a vulnerable group? Philosophical and bioethical perspectives on ageing and vulnerability. Bioethics, 32(4), 233–239.
Breeze, E., Fletcher, A. E., Leon, D. A., Marmot, M. G., Clarke, R. J., & Shipley, M. J. (2001). Do socioeconomic disadvantages persist into old age? Self-reported morbidity in a 29-year follow-up of the Whitehall Study. American Journal of Public Health, 91(2), 277–283.
Brock, D. W. (2002). Health resource allocation for vulnerable populations. In M. Danis, C. Clancy, & L. R. Churchill (Eds.), Ethical dimensions of health policy (pp. 283–309). Oxford: Oxford University Press.
Callahan, D. (2000). The vulnerability of the human condition. In P. Kemp, J. Rendtorff, & N. M. Johansen (Eds.), Bioethics and biolaw, volume II: Four ethical principles (pp. 115–122). Copenhagen: Rhodos International Science and Art Publishers and Centre for Ethics and Law in Nature and Society.
Daniels, N. (1985). Just health care. Cambridge/New York: Cambridge University Press.
Danis, M., & Patrick, D. L. (2002). Health policy, vulnerability, and vulnerable populations. In M. Danis, C. Clancy, & L. R. Churchill (Eds.), Ethical dimensions of health policy (pp. 310–336). Oxford/New York: Oxford University Press.
Holm, S. (2013). The implicit anthropology of bioethics and the problem of the aging person. In M. Schermer & W. Pinxten (Eds.), Ethics, health policy and (anti-)aging: Mixed blessings (pp. 59–71). Dordrecht: Springer.
Hurst, S. A. (2008). Vulnerability in research and health care: Describing the elephant in the room? Bioethics, 22(4), 191–202.
Hurst, S. A. (2009). Just care: Should doctors give priority to patients of low socioeconomic status? Journal of Medical Ethics, 35(1), 7–11.
Hurst, S. A. (2013). Protecting vulnerable persons: An ethical requirement in need of clarification. RevueMédicale Suisse, 9(386), 1054–1057.
Hurst, S. A. (2015). Clarifying vulnerability: The case of children. Asian Bioethics Review, 7(2), 126–138.
Hurst, S. A. (2016). The most vulnerable patients in healthcare. In C. Straehle (Ed.), Vulnerability, autonomy, and applied ethics (pp. 123–137). New York: Routledge.
Kipnis, K. (2003). Seven vulnerabilities in the pediatric research subject. Theoretical Medicine and Bioethics, 24(2), 107–120.
Kottow, M. H. (2003). The vulnerable and the susceptible. Bioethics, 17(5–6), 460–471.
Lindemann, H. (2014). Holding and letting go: The social practice of personal identity. Oxford/New York: Oxford University Press.
Lott, J. P. (2005). Module three: Vulnerable/special participant populations. Developing World Bioethics, 5(1), 30–54.
Luna, F. (2009). Elucidating the concept of vulnerability: Layers not labels. International Journal of Feminist Approaches to Bioethics, 2(1), 121–139.
Luna, F. (2018). Identifying and evaluating layers of vulnerability: A way forward. Developing World Bioethics, 19, 86–95.
MacIntyre, A. (1999). Dependent rational animals. Chicago/La Salle: Open Court.
Martin, A. K., Tavaglione, N., & Hurst, S. A. (2014). Resolving the conflict: Clarifying ‘vulnerability’ in health care ethics. Kennedy Institute of Ethics Journal, 24(1), 51–72.
Nussbaum, M. (2003). Capabilities as fundamental entitlements: Sen and social justice. Feminist Economics, 9(2–3), 33–59.
Rendtorff, J. D. (2002). Basic ethical principles in European bioethics and biolaw: Autonomy, dignity, integrity and vulnerability – Towards a foundation of bioethics and biolaw. Medicine, Health Care & Philosophy, 5(3), 235–244.
Riedl, M., Mantovan, F., & Them, C. (2013). Being a nursing home resident: A challenge to one’s identity. Nursing Research and Practice, 2013, article ID 932381, 1–9.
Robeyns, I. (2016). Conceptualising well-being for autistic persons. Journal of Medical Ethics, 42, 383–390.
Rodogno, R. (2015). Well-being, science and philosophy. In J. H. Søraker, J.-W. van der Rijt, J. Jelle de Boer, P.-H. Wong, & P. Brey (Eds.), Well-being in contemporary society (pp. 39–57). Berlin: Springer.
Tavaglione, N., Martin, A. K., Mezger, N., Durieux-Paillard, S., Francois, A., Jackson, Y., & Hurst, S. A. (2015). Fleshing out vulnerability. Bioethics, 29(2), 98–107.
Wolff, J., & de-Shalit, A. (2007). Disadvantage. Oxford: Oxford University Press.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Hurst, S. (2020). Vulnerability in Old Age. The Fragility of Inappropriately Protected Interests. In: Schweda, M., Coors, M., Bozzaro, C. (eds) Aging and Human Nature. International Perspectives on Aging, vol 25. Springer, Cham. https://doi.org/10.1007/978-3-030-25097-3_17
Download citation
DOI: https://doi.org/10.1007/978-3-030-25097-3_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-25096-6
Online ISBN: 978-3-030-25097-3
eBook Packages: Social SciencesSocial Sciences (R0)