Migrant live-in care is an essential but controversial part of the care system in Germany and is therefore discussed emotionally in public discourse. While there is already plenty of research on conflicts arising at the micro-level of these care arrangements, the public discourse on live-in care and its emotional dimension has received less scientific attention. The role of fear appears particularly significant as it points to moral assumptions about migrant live-in care. In our contribution, we analyse the communication of fear in the German live-in care discourse in various newspapers between 2017 and 2023, and explore the moral assumptions behind these fears. Two events turn out to be especially relevant: the Covid-19 pandemic and a decision by the Federal Labour Court on payment for on-call times of live-in carers. In both cases, the discourse is replete with predictions of the impending collapse of the care system, which correspond to fears about the future of eldercare in Germany. Fear functions as a moral call to action. Its public communication expresses a perceived lack of political solutions to fundamental problems in (live-in) care.
European Journal for Nursing History and Ethics Münster : Fachhochschule Münster, 2019 7(2025), Seite 1-21 Online-Ressource
artificial intelligence; dementia; depression; ethics; qualitative interview study
BackgroundThe use of artificial intelligence (AI) in psychiatry holds promise for diagnosis, therapy, and the categorization of mental disorders. At the same time, it raises significant theoretical and ethical concerns. The debate appears polarized, with proponents and critics seemingly irreconcilably opposed. On the one hand, AI is heralded as a transformative force poised to revolutionize psychiatric research and practice. On the other hand, it is depicted as a harbinger of dehumanization. To better understand this dichotomy, it is essential to identify and critically examine the underlying arguments. To what extent does the use of AI challenge the theoretical assumptions of psychiatric diagnostics? What implications does it have for patient care, and how does it influence the professional self-concept of psychiatrists?MethodsTo explore these questions, we conducted 15 semi-structured interviews with experts from psychiatry, computer science, and philosophy. The findings were analyzed using a structuring qualitative content analysis.ResultsThe analysis focuses on the significance of AI for psychiatric diagnosis and care, as well as on its implications for the identity of psychiatry. We identified different lines of argument suggesting that expert views on AI in psychiatry hinge on the types of data considered relevant and on whether core human capacities in diagnosis and treatment are viewed as replicable by AI.ConclusionsThe results provide a mapping of diverse perspectives, offering a basis for more detailed analysis of theoretical and ethical issues of AI in psychiatry, as well as for the adaptation of psychiatric education.
European psychiatry Cambridge : Cambridge University Press, 1991 68(2025), 1, Artikel-ID e105, Seite 1-5 Online-Ressource
Sociology; Social groups; Public health; Aufsatzsammlung; Altenbild; Ideal; Lebenswelt; Sozialpolitik; Leitbild
Leitbilder des Alterns zwischen Ideal und Wirklichkeit -- Altern zwischen Gesundheit und Politik -- Altern zwischen Selbstverwirklichung, Gelassenheit und Transzendenz.
Der vorliegende Band versammelt zentrale Perspektiven der deutschsprachigen Alternsforschung auf Successful Aging. Ziel ist es, die wissenschaftliche Begründung, gesellschaftliche Bedeutung, moralische Akzeptabilität und politische Legitimität zeitgenössischer Leitbilder des Alter(n)s kritisch unter die Lupe zu nehmen. Dabei beleuchten die Beiträge insbesondere, welche Verständnisse des Alter(n)s den verschiedenen Ansätzen und Spielarten gelingenden Alterns zugrunde liegen, welche Leitbilder mit ihnen Einzug in wissenschaftliche Debatten und politische Auseinandersetzungen halten und in welcher Beziehung sie zu alltagsweltlichen Erfahrungen älterer Menschen sowie zu philosophisch-ethischen Theorien eines guten Lebens im Alter stehen. Die Herausgebenden Dr. Larissa Pfaller ist wissenschaftliche Mitarbeiterin am Institut für Soziologie der Friedrich-Alexander-Universität Erlangen-Nürnberg. Prof. Dr. Mark Schweda ist Leiter der Abteilung für Ethik in der Medizin an der Carl von Ossietzky Universität Oldenburg.
