Don’t throw the birth plan out with the birth water!
Just try mentioning ‘birth plans’ at a party and see what happens. Hannah Dahlen – a midwife’s perspective
Mia Freedman once wrote about a woman who asked what her plan was for her placenta. Freedman felt birth plans were “most useful when you set them on fire and use them to toast marshmallows”. She labelled people who make these plans as “birthzillas” more interested in birth than having a baby.
In response, Tara Moss argued:
The majority of Australian women choose to birth in hospital and all hospitals do not have the same protocols. It is easy to imagine they would, but they don’t, not from state to state and not even from hospital to hospital in the same city. Even individual health practitioners in the same facility sometimes do not follow the same protocols.
The debate
Why the controversy over a woman and her partner writing down what they would like to have done or not done during their birth? The debate seems not to be about the birth plan itself, but the issue of women taking control and ownership of their births and what happens to their bodies.
Some oppose birth plans on the basis that all experts should be trusted to have the best interests of both mother and baby in mind at all times. Others trust the mother as the person most concerned for her baby and believe women have the right to determine what happens to their bodies during this intimate, individual, and significant life event.
As a midwife of some 26 years, I wish we didn’t need birth plans. I wish our maternity system provided women with continuity of care so by the time a woman gave birth her care provider would fully know and support her well-informed wishes. Unfortunately, most women do not have access to continuity of care. They deal with shift changes, colliding philosophical frameworks, busy maternity units, and varying levels of skill and commitment from staff.
There are so many examples of interventions that are routine in maternity care but lack evidence they are necessary or are outright harmful. These include immediate clamping and cutting of the umbilical cord at birth, episiotomy, continuous electronic foetal monitoring, labouring or giving birth laying down and unnecessary caesareans. Other deeply personal choices such as the use of immersion in water for labour and birth or having a natural birth of the placenta are often not presented as options, or are refused when requested.
The birth plan is a chance to raise and discuss your wishes with your healthcare provider. It provides insight into areas of further conversation before labour begins.
I once had a woman make three birth plans when she found out her baby was in a breech presentation at 36 weeks. One for a vaginal breech birth, one for a cesarean, and one for a normal birth if the baby turned. The baby turned and the first two plans were ditched. But she had been through each scenario and carved out what was important for her.
Bashi Hazard – a legal perspective
Birth plans were introduced in the 1980s by childbirth educators to help women shape their preferences in labour and to communicate with their care providers. Women say preparing birth plans increases their knowledge and ability to make informed choices, empowers them, and promotes their sense of safety during childbirth. Some (including in Australia) report that their carefully laid plans are dismissed, overlooked, or ignored.
There appears to be some confusion about the legal status or standing of birth plans. Neither is reflective of international human rights principles or domestic law. The right to informed consent is a fundamental principle of medical ethics and human rights law and is particularly relevant to the provision of medical treatment. In addition, our common law starts from the premise that every human body is inviolate and cannot be subject to medical treatment without autonomous, informed consent.
Pregnant women are no exception to this human rights principle nor to the common law.
If you start from this legal and human rights premise, the authoritative status of a birth plan is very clear. It is the closest expression of informed consent that a woman can offer her caregiver prior to commencing labour. This is not to say she cannot change her mind but it is the premise from which treatment during labour or birth should begin.
Once you accept that a woman has the right to stipulate the terms of her treatment, the focus turns to any hostility and pushback from care providers to the preferences a woman has the right to assert in relation to her care.
Mothers report their birth plans are criticised or outright rejected on the basis that birth is “unpredictable”. There is no logic in this.
Care providers who understand the significance of the human and legal right to informed consent begin discussing a woman’s options in labour and birth with her as early as the first antenatal visit. These discussions are used to advise, inform, and obtain an understanding of the woman’s preferences in the event of various contingencies. They build the trust needed to allow the care provider to safely and respectfully support the woman through pregnancy and childbirth. Such discussions are the cornerstone of woman-centred maternity healthcare.
Human Rights in Childbirth
Reports received by Human Rights in Childbirth indicate that care provider pushback and hostility towards birth plans occurs most in facilities with fragmented care or where policies are elevated over women’s individual needs. Mothers report their birth plans are criticised or outright rejected on the basis that birth is “unpredictable”. There is no logic in this. If anything, greater planning would facilitate smoother outcomes in the event of unanticipated eventualities.
In truth, it is not the case that these care providers don’t have a birth plan. There is a birth plan – one driven purely by care providers and hospital protocols without discussion with the woman. This offends the legal and human rights of the woman concerned and has been identified as a systemic form of abuse and disrespect in childbirth, and as a subset of violence against women.
It is essential that women discuss and develop a birth plan with their care providers from the very first appointment. This is a precious opportunity to ascertain your care provider’s commitment to recognising and supporting your individual and diverse needs.
Gauge your care provider’s attitude to your questions as well as their responses. Expect to repeat those discussions until you are confident that your preferences will be supported. Be wary of care providers who are dismissive, vague or non-responsive. Most importantly, switch care providers if you have any concerns. The law is on your side. Use it.
Making a birth plan – some practical tips
- Talk it through with your lead care provider. They can discuss your plans and make sure you understand the implications of your choices.
- Make sure your support network know your plan so they can communicate your wishes.
- Attending antenatal classes will help you feel more informed. You’ll discover what is available and the evidence is behind your different options.
- Talk to other women about what has worked well for them, but remember your needs might be different.
- Remember you can change your mind at any point in the labour and birth. What you say is final, regardless of what the plan says.
- Try not to be adversarial in your language – you want people working with you, not against you. End the plan with something like “Thank you so much for helping make our birth special”.
- Stick to the important stuff.
Some tips on the specific content of your birth plan are available here.
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BY Hannah Dahlen
Hannah Dahlen is a professor of Midwifery at Western Sydney University and a practising midwife.
BY The Ethics Centre
The Ethics Centre is a not-for-profit organisation developing innovative programs, services and experiences, designed to bring ethics to the centre of professional and personal life.
Ethics Explainer: Just War Theory
Just war theory is an ethical framework used to determine when it is permissible to go to war. It originated with Catholic moral theologians like Augustine of Hippo and Thomas Aquinas, though it has had a variety of different forms over time.
Today, just war theory is divided into three categories, each with its own set of ethical principles. The categories are jus ad bellum, jus in bello, and jus post bellum. These Latin terms translate roughly as ‘justice towards war’, ‘justice in war’, and ‘justice after war’.
Jus ad bellum
When political leaders are trying to decide whether to go to war or not, just war theory requires them to test their decision by applying several principles:
- Is it for a just cause?
This requires war only be used in response to serious wrongs. The most common example of just cause is self-defence, though coming to the defence of another innocent nation is also seen as a just cause by many (and perhaps the highest cause).
- Is it with the right intention?
This requires that war-time political leaders be solely motivated, at a personal level, by reasons that make a war just. For example, even if war is waged in defence of another innocent country, leaders cannot resort to war because it will assist their re-election campaign.
- Is it from a legitimate authority?
This demands war only be declared by leaders of a recognised political community and with the political requirements of that community.
- Does it have due proportionality?
This requires us to imagine what the world would look like if we either did or didn’t go to war. For a war to be ‘just’ the quality of the peace resulting from war needs to superior to what would have happened if no war had been fought. This also requires we have some probability of success in going to war – otherwise people will suffer and die needlessly.
- Is it the last resort?
This says we should explore all other reasonable options before going to war – negotiation, diplomacy, economic sanctions and so on.
Even if the principles of jus ad bellum are met, there are still ways a war can be unjust.
Jus in bello
These are the ethical principles that govern the way combatants conduct themselves in the ‘theatre of war’.
- Discrimination requires combatants only to attack legitimate targets. Civilians, medics and aid workers, for example, cannot be the deliberate targets of military attack. However, according the principle of double-effect, military attacks that kill some civilians as a side-effect may be permissible if they are both necessary and proportionate.
- Proportionality applies to both jus ad bellum and jus in bello. Jus in bello requires that in a particular operation, combatants do not use force or cause harm that exceeds strategic or ethical benefits. The general idea is that you should use the minimum amount of force necessary to achieve legitimate military aims and objectives.
- No intrinsically unethical means is a debated principle in just war theory. Some theorists believe there are actions which are always unjustified, whether or not they are used against enemy combatants or are proportionate to our goals. Torture, shooting to maim and biological weapons are commonly-used examples.
- ‘Following orders’ is not a defence as the war crime tribunals after the Second World War clearly established. Military personnel may not be legally or ethically excused for following illegal or unethical orders. Every person bearing arms is responsible for their conduct – not just their commanders.
Jus post bello
Once a war is completed, steps are necessary to transition from a state of war to a state of peace. Jus post bello is a new area of just war theory aimed at identifying principles for this period. Some of the principles that have been suggested (though there isn’t much consensus yet) are:
- Status quo ante bellum, a Latin term meaning ‘the way things were before war’ – basically rights, property and borders should be restored to how they were before war broke out. Some suggest this is a problem because those can be the exact conditions which led to war in the first place.
- Punishment for war crimes is a crucial step to re-installing a just system of governance. From political leaders down to combatants, any serious offences on either side of the conflict need to be brought to justice.
- Compensation of victims suggests that, as much as possible, the innocent victims of conflict be compensated for their losses (though some of the harms of war will be almost impossible to adequately compensate, such as the loss of family members).
- Peace treaties need to be fair and just to all parties, including those who are guilty for the war occurring.
Just war theory provides the basis for exercising ‘ethical restraint’ in war. Without restraint, philosopher Michael Ignatieff, argues there is no way to tell the difference between a ‘warrior’ and a ‘barbarian’.
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Learning risk management from Harambe
Traditional and social media channels were flooded with the story of Harambe, a 17-year-old western lowland silverback gorilla shot dead at Cincinnati Zoo on 28 May 2016 after a four-year-old boy crawled through a barrier and fell into his enclosure.
With the benefit of hindsight, forming an opinion is easy. There are already plenty being thrown around regarding the incident and who was to blame for the tragedy.
The need to kill Harambe is exceptionally depressing: a gorilla lost his life, the zoo lost a real asset, a mother was at risk of losing her child, and staff tasked by the zoo to shoot Harambe faced emotional trauma based on the bond they likely formed with him.
In technical risk management terms, the zoo seems to have been in line with best practice.
Overall, it was a bad state of affairs. Though the case gives rise to a number of ethical issues, one way to consider it is as a risk management issue – where it presents us with some important lessons that might prevent similar circumstances from happening in the future, and ensure they are better managed if they do.
In technical risk management terms, the zoo seems to have been in line with best practice.
According to Cincinnati Zoo’s annual report, 1.5 million visitors visited the park in 2014 to 2015. Included in those numbers are hundreds of parents who visited the zoo with children who didn’t end up in any of the animal enclosures.
According to WLWT-TV, this was the first breach at the zoo since its opening in 1978. There is no doubt the zoo identified this risk and managed it with secure (until now) enclosures. There is also little doubt relevant signage and duty of care reminders would have been placed around the zoo. Staff would assume parents would manage their children and keep them safe. In the eyes of most risk management experts, this would seem to be more than sufficient.
Organisations need to put energy and effort into so called ‘black swan’ events… that are unlikely but have immense consequences if they do occur.
However, as we have seen in several cases (including Cecil the Lion) it does not seem to be the incident itself that brings the massive negative consequences but rather social media, based on the fact that the internet provides a platform for everyone to be judge and jury.
This flags the massive shift required in the way we manage risk. If we look only at the financial losses to the zoo, their decision may seem logical and rational. They were truly put in a no-win position – an immediate tactical decision was required once Harambe began dragging the child around the water.
Imagine if they had decided to tranquillise Harambe and the four-year-old boy had died while they were waiting for the tranquillisers to take effect – what would the impact have been?
The true lesson regarding this issue lies in the need for organisations to put energy and effort into so-called ‘black swan’ events – ones that are unlikely but have immense consequences if they do occur. These events are often overlooked, based only on the fact they are unlikely, leaving organisations unprepared for when they do.
The ethics of what is right and wrong tend to blur when the masses have a platform to pass judgement.
Traditional risk management approaches try to allocate scores to things and then put associated resources to the highest ranking risk issues. In this case, a risk that was deemed managed actually occurred and the result was very negative.
Whether negligent or not, various social media commentators have held the mother accountable. It seems she has been held to account based not on what she did, but for the apparently unapologetic and callous way she responded to the killing of Harambe.
This shows us risk management needs to consider the human element in a way we previously haven’t. The ethics of what is right and wrong tend to blur when the masses have a platform to pass judgement. There are many lessons to be taken from this incident, including the following considerations:
- Risk management and duty of care should be incorporated in a more cohesive manner, focusing on applying a BDA approach (Before, During and After).
- Social media backlash adds a new dimension to the way organisations should make, report and defend their decisions.
- Individuals can no longer purely blame the organisation they believe responsible based on negligence or breach of duty of care. Even if the individual shifts blame onto the organisation entirely, and they are not held to account by the law, they will be held to account by the general public.
- We have entered an era where system- and process-based risk management needs to integrate human and emotive elements to account for emotional responses.
- Lastly – and unrelatedly – the question of why one story attracts massive public outcry and why another doesn’t raises ethical questions regarding the way we consume news, the way the media reports it, and the upsides and downsides of social media.
In short this is another case of how much work we still have to do – especially in the modern internet age – to proactively and ethically manage risk.
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BY Gav Schneider
Dr Gav Schneider is the CEO of the Risk 2 Solution Group and Head of the Australian Catholic Universities Postgraduate Program in The Psychology of Risk.
BY The Ethics Centre
The Ethics Centre is a not-for-profit organisation developing innovative programs, services and experiences, designed to bring ethics to the centre of professional and personal life.
Ethics Explainer: Dirty Hands
The problem of dirty hands refers to situations where a person is asked to violate their deepest held ethical principles for the sake of some greater good.
The problem of dirty hands is usually seen only as an issue for political leaders. Ordinary people are typically not responsible for serious enough decisions to justify getting their hands ‘dirty’. Imagine a political leader who refuses to do what is necessary to advance the common good – what would we think of them?
Michael Walzer steps in
This was the question philosopher Michael Walzer asked when he discussed dirty hands, and another philosopher, Max Weber, had asked before him.
Walzer asks us to imagine a politician who is elected in a country that has been devastated by civil war, and who campaigned on policies of peace, reconciliation and an opposition to torture. Immediately after this politician is elected, he is asked to authorise the torture of a terrorist. The terrorist has hidden bombs throughout apartments in the city which will explode in the next 24 hours. Should the politician authorise the torture in the hope the information provided by the terrorist might save lives?
Finding common ground
This is a pretty common ethical dilemma, and different ethical theories will give different answers. Deontologists will mostly refuse, taking the ‘absolutist’ position that torture is an attack on human dignity and therefore always wrong. Utilitarians will probably see the torture as the action leading to the best outcomes and argue it is the right course of action.
What makes dirty hands different is it treats each of these arguments seriously. It accepts torture might always be wrong, but also that the stakes are so high it might also be the right thing to do. So, the political leader might have a duty to do the wrong thing – but what they are required to do is still wrong. As Walzer says, “The notion of dirty hands derives from an effort to refuse ‘absolutism’ without denying the reality of the moral dilemma”.
The paradox of dirty hands – that the right thing to do is also wrong – poses a challenge to political leaders. Are they willing to accept the possibility they might have to get their hands dirty and be held responsible for it? Walzer believes the moral politician is one who has dirty hands, acknowledges it, and is destroyed by it (because of feelings of guilt, punishment and so on): “it is by his dirty hands that we know him”.
Note that we’re not talking about corruption here where politicians get their hands dirty for their own selfish reasons, like fraudulent reelection or profit. What we’re talking about is when a politician might be obliged to violate their deepest personal values or the ethical creeds of their community in order to achieve some higher good, and how the politician should feel about having done so.
A remorseful politician?
Walzer believes politicians should feel wracked with guilt and seek forgiveness (and even demand punishment) in response to having dirtied their hands. Other thinkers disagree, notably Niccolo Machiavelli. He was also aware political leaders would sometimes have to do ‘what’s necessary’ for the public good. But even if those actions would be rejected by private ethics, he didn’t think decision makers should feel guilty about it.
Machiavelli felt indecision, hesitation, or squeamishness in the face of doing what’s necessary wasn’t a sign of a good or virtuous political leader – it was a sign they weren’t cut out for the job. Under this notion, the good political leader won’t just accept getting their hands dirty, they’ll do it whenever necessary without batting an eyelid.
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‘Eye in the Sky’ and drone warfare
Warning – general plot spoilers to follow.
Collateral damage
Eye in the Sky begins as a joint British and US surveillance operation against known terrorists in Nairobi. During the operation, it becomes clear a terrorist attack is imminent, so the goals shift from surveillance to seek and destroy.
Moments before firing on the compound, drone pilots Steve Watts (Aaron Paul) and Carrie Gershon (Phoebe Fox) see a young girl setting up a bread stand near the target. Is her life acceptable collateral damage if her death saves many more people?
In military ethics, the question of collateral damage is a central point of discussion. The principle of ‘non-combatant immunity’ requires no civilian be intentionally targeted, but it doesn’t follow from this that all civilian casualties are unethical.
Most scholars and some Eye in the Sky characters, such as Colonel Katherine Powell (Helen Mirren), accept even foreseeable casualties can be justified under certain conditions – for instance, if the attack is necessary, the military benefits outweigh the negative side effects and all reasonable measures have been taken to avoid civilian casualties.
Risk-free warfare
The military and ethical advantages of drone strikes are obvious. By operating remotely, we prevent the risk of our military men and women being physically harmed. Drone strikes are also becoming increasingly precise and surveillance resources mean collateral damage can be minimised.
However, the damage radius of a missile strike drastically exceeds most infantry weapons – meaning the tools used by drones are often less discriminate than soldiers on the ground carrying rifles. If collateral damage is only justified when reasonable measures have been taken to reduce the risk to civilians, is drone warfare morally justified, or does it simply shift the risk away from our war fighters to the civilian population? The key question here is what counts as a reasonable measure – how much are we permitted to reduce the risk to our own troops?
Eye in the Sky forces us to confront the ethical complexity of war.
Reducing risk can also have consequences for the morale of soldiers. Christian Enemark, for example, suggests that drone warfare marks “the end of courage”. He wonders in what sense we can call drone pilots ‘warriors’ at all.
The risk-free nature of a drone strike means that he or she requires none of the courage that for millennia has distinguished the warrior from all other kinds of killers.
How then should drone operators be regarded? Are these grounded aviators merely technicians of death, at best deserving only admiration for their competent application of technical skills? If not, by what measure can they be reasonably compared to warriors?
Moral costs of killing
Throughout the film, military commanders Catherine Powell and Frank Benson (Alan Rickman) make a compelling consequentialist argument for killing the terrorists despite the fact it will kill the innocent girl. The suicide bombers, if allowed to escape, are likely to kill dozens of innocent people. If the cost of stopping them is one life, the ‘moral maths’ seems to check out.
Ultimately it is the pilot, Steve Watts, who has to take the shot. If he fires, it is by his hand a girl will die. This knowledge carries a serious ethical and psychological toll, even if he thinks it was the right thing to do.
There is evidence suggesting drone pilots suffer from Post Traumatic Stress Disorder (PTSD) and other forms of trauma at the same rates as pilots of manned aircraft. This can arise even if they haven’t killed any civilians. Drone pilots not only kill their targets, they observe them for weeks beforehand, coming to know their targets’ habits, families and communities. This means they humanise their targets in a way many manned pilots do not – and this too has psychological implications.
Who is responsible?
Modern military ethics insist all warriors have a moral obligation to refuse illegal or unethical orders. This sits in contrast to older approaches, by which soldiers had an absolute duty to obey. St Augustine, an early writer on the ethics of war, called soldiers “swords in the hand” of their commanders.
In a sense, drone pilots are treated in the same way. In Eye in the Sky, a huge number of senior decision-makers debate whether or not to take the shot. However, as Powell laments, “no one wants to take responsibility for pulling the trigger”. Who is responsible? The pilot who has to press the button? The highest authority in the ‘kill chain’? Or the terrorists for putting everyone in this position to begin with?
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Do Australia’s adoption policies act in the best interests of children?
During the last year, I have listened and talked with practitioners, policy makers, adoptees, adoptive parents, children and young people in care, and birth families.
I have heard of the best and worst of human beings. My heart has constricted hearing about the profound harm some have experienced, and it has swelled in joy at the love that human beings can have for each other.
Research shows unequivocally that multiple placements have a negative impact on children.
Adoption in Australia has become fraught in all aspects – politics, policy and practice. It is a complex social issue that presents ethical and moral dilemmas for Government, the NGOs working with vulnerable and at-risk children, and for the broader community. It is complex and nuanced, with no clear response that will work in all cases. And it is highly emotionally charged.
In Australia, there are more than 43,000 children in ‘out of home care’. These children are identified as being ‘at risk’ and cannot remain in the care of their biological parents. They have been removed by child protection practitioners and, depending on the child’s circumstances, have been placed in the care of extended family, or with a guardian, or in short-term foster care.
Once children have been removed, the efforts of the child protection workers and other support services are framed to support the birth parents and to help them to reunify with their children. And this is where one of many ethical dilemmas emerges for the practitioners, policy makers and legislators.
How many opportunities should biological parents be given to demonstrate they are able keep their children safe and parent them? What level of support and services should they receive? And in the meantime, how long should a child stay in temporary care? How many placements is it tolerable for a child to experience?
These are difficult decisions for practitioners to make – each child’s situation is different. One practitioner described weighing up whether to return a child to their birth family against the risk of harm to the child as one of his hardest challenges. Having worked overseas, he believed that in Australia, the scales have tipped toward ‘restoration’ with birth families at all costs. This is not appropriately counter-balanced with an assessment of the risk of harm to children in the process.
Adoption in Australia has become fraught in all aspects – politics, policy and practice.
Compounding the situation is the problem of the availability and quality of foster carers able to care for vulnerable children. One practitioner in a regional town told me of a situation where she had to make a decision not to remove a child from a harmful situation because they did not have an appropriate foster carer available. The fact the child remained in an abusive family environment weighed heavily on the practitioner’s conscience.
Adoption, child protection and out of home care policy and legislation are founded on the assumption that decisions must be made in the ‘best interests of the child’. There is, however, no universally agreed upon definition of what this means.
Foster care is, by nature, temporary. There is always the possibility for the child that their relationship with their carers will end. This means some children experience multiple placements in foster care.
Sometimes the reasons for a change of placement are compelling – to be nearer their school, with siblings or nearer extended family members. However, research shows unequivocally that multiple placements have a negative impact on children.
Lack of security and attachment can have profound impacts on development. I’ve been told that multiple moves teach children that adults ‘come and go’ and cannot be trusted – a view corroborated by some young people in foster care who report feeling they ‘don’t belong’ anywhere.
Even the ‘Permanent Care Orders’ preferred in Victoria, which enable a child to live with a family until they are 18, fall short of providing a child or young person with the psychological and legal security of a family forever.
Why in Australia do we continue to provide a system that fails to meet children’s long term needs?
At the heart of this discussion lies a paralysing ethical dilemma – when a decision needs to be made to remove a child from their biological parents due to harm, neglect or abuse or when it’s not been successful, whose rights should be protected?
The right of the parent to keep their children, or the rights of the children to the conditions that will help them feel safe, secure and loved? Whose pain takes precedence? The parents’ loss and grief or the child’s trauma and pain?
The trauma caused by the historical practices of forced and closed adoptions has made many practitioners and politicians highly attuned to the needs of birth families. We need to learn from the profound hurt and trauma inflicted on many women who were coerced into relinquishing their children.
Adoption is not a panacea – it won’t be in the best interest of every child in long-term care.
The voices of adult adoptees who experienced secrecy, stigma and shame around their adoptions are deserving of understanding and compassion.
But considering or advocating for children to have access to adoption does not deny or ignore these experiences. It is important to learn from the impact of past practices and develop open adoption practices ensuring transparency and honesty for all involved, and provide support services that assist all parties involved in adoption.
It is also important to recognise that attempting to deal with an historical wrong – forced adoption – by loading the policy scales against adoption, creates a situation where everyone loses.
Adoption is not a panacea – it won’t be in the best interest of every child in long-term care, but it should be an option considered for all children that need permanent loving families. This then allows a decision to be made that is child focused and in their best interest.
There are many policy makers, practitioners, legislators, and families trying to acknowledge and navigate the ethical complexities of child protection, foster care and adoption. It is critical we continue in this direction, without being subsumed by the shame of our cultural past, to put the needs of vulnerable and at risk children first.
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Australia is no longer a human rights leader
On February 8, Prime Minister Malcolm Turnbull announced the appointment of Philip Ruddock – the former immigration minister who presided over the Howard government’s notorious “Pacific Solution” to divert asylum seekers from its shores – as Australia’s first special envoy for human rights.
This surprising recycling of Ruddock is part of the government’s campaign for a seat at the United Nations Human Rights Council for the 2018-2020 term.
Not too long ago, then Prime Minister Tony Abbott said Australia was “sick of being lectured to” by the United Nations. But even the new government is demonstrating a willingness to dismiss inconvenient human rights obligations. In Human Rights Watch’s annual World Report – which documents human rights practices in more than 90 countries – Australia’s human rights record over the last year showed how far the country has to go.
It is difficult not to be disillusioned by the state of human rights in Australia. This is especially the case regarding the treatment of migrants and asylum seekers, and the discrimination faced by Indigenous Australians.
Australia’s candidacy for a seat at the Human Rights Council provides an important opportunity for Australia to address its domestic human rights issues.
Australia’s position on refugee protection has been to undermine and ignore international standards rather than uphold them. The country maintains a harsh boat turn-back policy, returning migrants and asylum seekers to countries including Indonesia, Sri Lanka, and Vietnam after only the most cursory of screenings.
Australia has a policy of mandatory detention for all unauthorised arrivals, transferring migrants and asylum seekers to offshore processing sites in less-equipped countries such as Nauru and Papua New Guinea. An independent review and a report by the Australian Human Rights Commission found evidence of sexual and physical abuse of children on Nauru.
Instead of trying to ensure the safety of the asylum seekers and refugees in Australian immigration detention facilities, the government acted to limit public discussion of important refugee and migrant issues. It passed a law that makes it a crime punishable by two years jail if immigration service providers disclose “protected information”.
Following a ruling by the High Court, 267 asylum seekers in Australia, including 91 children, faced involuntary transfer to Nauru and Manus Island. The High Court ruled on narrow statutory grounds and did not consider Australia’s compliance with international refugee law.
Another area where Australia is falling behind is Indigenous rights. In November 2015, Australia appeared before the UN Human Rights Council to defend its rights record as part of the Universal Periodic Review process. Many countries urged Australia to address disadvantage and discrimination faced by Indigenous Australians. The government’s “Closing the Gap” report for 2016 highlighted mixed progress in meeting targets in education and health, with Indigenous Australians still living on average 10 years less than non-Indigenous Australians.
Indigenous Australians remain disproportionately represented in the criminal justice system, with Aboriginal women being the fastest growing prisoner demographic. Aboriginal and Torres Strait Islander children under the age of 18 are overrepresented in youth detention facilities—representing more than half of child detainees.
Australia’s candidacy for a seat at the Human Rights Council provides an important opportunity for Australia to address its domestic human rights issues.
Australia is a vibrant democracy with a multicultural society and a solid history of protecting and promoting human rights values. Following the horror of World War II, Australia played an integral role in the development of the United Nations. In 1948, Australia’s Dr Herbert Vere Evatt, as president of the General Assembly, oversaw the adoption of the Universal Declaration on Human Rights.
But to regain the moral high ground and respect international law, Australia should urgently address these and other shortcomings in its human rights record. For starters, the government should stop transferring migrants and asylum seekers offshore, and provide them with fair and timely refugee status determination in Australia.
On Indigenous rights, it needs to intensify its commitment to addressing the underlying causes of gaps in opportunities and outcomes in health, education, housing and employment between Indigenous and non-indigenous and do more to address the high incarceration rate.
Australia once was an international human rights leader – and should be again.
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BY Georgie Bright
Georgie Bright is the Australia Associate Director for Development and Outreach at Human Rights Watch. Prior to joining Human Rights Watch, she worked in criminal law at Legal Aid Queensland. Georgie holds a law degree from Queensland University of Technology and obtained her Masters in International Human Rights Law at the University of York.
BY The Ethics Centre
The Ethics Centre is a not-for-profit organisation developing innovative programs, services and experiences, designed to bring ethics to the centre of professional and personal life.
Ethics Explainer: Deontology
Deontology is an ethical theory that says actions are good or bad according to a clear set of rules.
Its name comes from the Greek word deon, meaning duty. Actions that align with these rules are ethical, while actions that don’t aren’t. This ethical theory is most closely associated with German philosopher, Immanuel Kant.
His work on personhood is an example of deontology in practice. Kant believed the ability to use reason was what defined a person.
From an ethical perspective, personhood creates a range of rights and obligations because every person has inherent dignity – something that is fundamental to and is held in equal measure by each and every person.
This dignity creates an ethical ‘line in the sand’ that prevents us from acting in certain ways either toward other people or toward ourselves (because we have dignity as well). Most importantly, Kant argues that we may never treat a person merely as a means to an end (never just as a resource or instrument).
Kant’s ethics isn’t the only example of deontology. Any system involving a clear set of rules is a form of deontology, which is why some people call it a “rule-based ethic”. The Ten Commandments is an example, as is the Universal Declaration of Human Rights.
Most deontologists say there are two different kinds of ethical duties, perfect duties and imperfect duties. A perfect duty is inflexible. “Do not kill innocent people” is an example of a perfect duty. You can’t obey it a little bit – either you kill innocent people or you don’t. There’s no middle-ground.
Imperfect duties do allow for some middle ground. “Learn about the world around you” is an imperfect duty because we can all spend different amounts of time on education and each be fulfilling our obligation. How much we commit to imperfect duties is up to us.
Our reason for doing the right thing (which Kant called a maxim) is also important.
We should do our duty for no other reason than because it’s the right thing to do.
Obeying the rules for self-interest, because it will lead to better consequences or even because it makes us happy is not, for deontologists, an ethical reason for acting. We should be motivated by our respect for the moral law itself.
Deontologists require us to follow universal rules we give to ourselves. These rules must be in accordance with reason – in particular, they must be logically consistent and not give rise to contradictions.
It’s worth mentioning that deontology is often seen as being strongly opposed to consequentialism. This is because in emphasising the intention to act in accordance with our duties, deontology believes the consequences of our actions have no ethical relevance at all – a similar sentiment to that captured in the phrase “Let justice be done, though the heavens may fall”.
The appeal of deontology lies in its consistency. By applying ethical duties to all people in all situations the theory is readily applied to most practical situations. By focussing on a person’s intentions, it also places ethics entirely within our control – we can’t always control or predict the outcomes of our actions, but we are in complete control of our intentions.
Others criticise deontology for being inflexible. By ignoring what’s at stake in terms of consequences, some say it misses a serious element of ethical decision-making. De-emphasising consequences has other implications too – can it make us guilty of ‘crimes of omission’? Kant, for example, argued it would be unethical to lie about the location of our friend, even to a person trying to murder them! For many, this seems intuitively false.
One way of resolving this problem is through an idea called threshold deontology, which argues we should always obey the rules unless in an emergency situation, at which point we should revert to a consequentialist approach.
But is this a cop-out? How do we define ‘emergency’?
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What comes after Stan Grant’s speech?
Stan Grant’s speech broke your heart – five views on what to do about it.
1) Tanya Denning-Orman say’s It’s not hard to capitalise on Grant’s momentum.
Last year Stan Grant delivered an address that left a crowd of hundreds speechless. This week, those same words jumped out of computer screens and into the hands of ordinary Australians and polarised millions of lounge room commentators. When this happened, he forced an entire nation to confront a history that no one wants to talk about.
He made you uncomfortable because he put a human face to the stats and figures that so commonly define First Nations peoples. Stan reminded you that we are people of law, lore, music, art and politics, and he inspired you to reimagine who we all are as Australians.
Yesterday, commentators described the impact of this speech as a “Martin Luther King moment”. Today, those of us who live it know that it’s all come and gone before. Noel Pearson delivered a speech that commentators said would be spoken about for years. In the months that followed, there was silence. With just a few words Charlie Perkins could mobilise crowds to take to the streets. Is it that easy to forget?
Knowing this, tomorrow the challenge will be that this momentum, created by a Wiradjuri man, doesn’t drown in a sea of barbecues and beers that is ‘Australia Day’. Just as Stan Grant said, we are better than this.
This time let the power of the word inspire you to make a change beyond ‘a thumbs up’ on a post and clicking the share button. We can insist that schools teach Australia’s silenced history. We can hold our governments to account. We can be empowered by our shared story.
Never before have we been so connected – we can create a global movement through our fingertips.
And I’ll let you in on a little secret. It’s not that hard to do.
Tanya Denning-Orman is the Channel Manager for NITV. Follow her on Twitter @Tanyadenning.
2) Luke Pearson argues that sentiment isn’t social justice. Now is the time to do something
The worry with making white people ‘feel all the feels’ as we sometimes say online, is that it won’t lead to any change in thought, behaviour or actual contributions to the work that needs to be done. Worse, it can actually do the opposite.
White people’s emotional experiences are all too often used to validate privilege and identify themselves as ‘one of the good ones’. This shifts the responsibility to act away from them and onto ‘those other people’.
Novelist Teju Cole labelled this phenomenon the ‘White Saviour Industrial Complex’, saying “The White Saviour Industrial Complex is not about justice. It is about having a big emotional experience that validates privilege.”
This response gives people the moral authority to continue to justify racist responses that make them feel good about their privilege and direct and indirect contributions to racism and oppression. This attitude is what all too often justifies brutal government responses to complex problems.
In Australia this takes the form of punitive approaches to an endless list of humanitarian issues. The NT Intervention, offshore detention, military action overseas, Aboriginal deaths in custody, and increased rates of Indigenous child removal and incarceration whilst simultaneously defunding strategies to reduce these numbers…
This attitude leads people to get upset or feel attacked whenever white privilege is mentioned. They remove themselves from any responsibility purely by virtue of their emotional experiences, not recognising they are the ones who benefit most from their emotional experiences.
The very same people who claim to be our biggest supporters still argue that “we need to stop talking about race” rather than arguing “we need to stop racism”. They say “we are all Australians” without seeing the irony – erasing the identity of others was the outcome intended by culture genocide and assimilationist ideals. They feel betrayed when this is challenged because they feel they are owed for the emotional experiences they have felt.
If your response to videos like Stan Grant’s speech is to pat yourself on the back for a job well done without actually considering your place in the status quo and whether or not your ideas are just rebranded versions of the racism people have been fighting against for centuries, you are a part of the problem.
The same goes if you recognise the above but don’t actually do anything to change things. If you sit silently when you see racism within your own family, your workplace, your social group… If you don’t support those who work at the coalface, addressing the ongoing impacts of colonialism or who work at the highest levels trying to prevent it from continuing…
You are part of the problem.
“I deeply respect American sentimentality, the way one respects a wounded hippo. You must keep an eye on it, for you know it is deadly”, writes Teju Cole.
Ditto for Australia.
Luke Pearson is the Founder of IndigenousX, indigenousx.com.au. Follow them on Twitter @IndigenousX.
3) Anita Heiss anticipates that the real power of Stan’s speech is yet to come
As part of the debate, Stan Grant’s words were powerful. They were honest. They came from the heart and they were passionate. Unfortunately, for many of us they were not something new. They were words we had said ourselves in vain, similar to words we had heard from our parents and our peers. And so, we watched and sat in pain yet again at the reality of what is our great Australian nightmare.
For me the importance of Stan’s speech is that it has managed to reach a global audience. It has been heard by some who, for whatever reason, knew nothing about the facts Stan, a strong Wiradjuri man, was sharing as part of a debate that, in all honesty, was not much of a debate.
Words can be powerful. They can make us change the way we think. They can help us understand and feel empathy, but what are words without actions? I think the real power will come now, post Stan’s speech in a call to action to all those tweeting and facebooking to actually do something!
Teachers, watch the entire debate with your students. Get them to discuss, debate and talk about the issues raised. Parents, do the above also!
Corporates, politicians, policy makers, what are you doing in your worlds to address the inequities Stan mentioned? Immortality rates, incarceration rates, the ongoing removal of children?
Re-tweeting is not enough! You cannot claim to want equality for Indigenous Australians if you are not prepared to participate in the change – the actions – required to make that happen.
Build partnerships with Indigenous organisations that are already working in the areas you have influence in. Form lasting strategies to create the change this country needs. But please know, it’s not going to be easy, or going to be fixed overnight. Over 200 years of damage needs to be repaired to make the nightmare a dream.
Dr Anita Heiss is a proud member of the Wiradjuri nation. She is an author and Manager of the Epic Good Foundation. Follow her on Twitter @AnitaHeiss.
4) Kelly Briggs feels that we’ve had ‘Stan Grant moments’ before
I am confounded that some are comparing Stan Grant’s much admired speech from the IQ2 debate last year on Australia’s racism to Martin Luther King. Doing so erases Aboriginal activists who have come before us, including Dr Charlie Perkins.
Perkins headed what is now known as the ‘Freedom Rides’ – a busload of Sydney University students who toured particularly racist northern New South Wales towns to shine a spotlight on the heinous racism and segregation between blacks and whites in 1965. His passionate activism in towns, pubs, RSLs, swimming pools and the like saw changes to many rules and regulations.
Now that Stan Grant’s speech has gone ‘viral’, will it engender any changes to current governmental policies? Put back any of the money ripped out of the budget allocated to Aboriginal programs and issues? Create a much needed conversation about Australia’s ongoing overt and casual racism?
I don’t think it will. Stan Grant, while passionate, has not added anything new to what Aboriginal people have been saying in blogs, news articles and on social media for the better part of a decade. So, while I admire Stan’s stance, I do not hold out any hope that it will not be forgotten in a week, or that it will make a difference.
Kelly Briggs blogs at thekooriwoman.wordpress.com. Follow her on Twitter @TheKooriWoman.
5) Siv Parker on why we haven’t done this before
We haven’t had enough feel-good moments cast around Aboriginal Australia for this nation to be in a position to waste one. So where to from here?
An icebreaker may help to shake off a few nerves. It would be easier on all of us if we took a breath and agreed that we haven’t done this before.
Bridge walks, town meetings, community events, the apology and the land help to give us all our bearings.
But a digital world makes it easier to satisfy a yearning for substance, to extend ourselves beyond fleeting online interactions.
The anticipated referendum around constitutional reform is a hook on which to hang our shared history. I have no doubt we can agree to include Indigenous Australians in the constitution. I am not the only one willing to make a start on talking about what that could look like.
We won’t need to invoke great moments from foreign countries to define us, we can create our own. Indigenous people are on the crest of a wave in asserting ourselves in words, art, performances and knowledge systems that has been decades in the making. This nation can do better. That is the promise within our ancient storytelling tradition. A story is not a one-sided affair. We don’t listen to a story, we become a part of it. In years to come, they will continue to tell stories that includes us all.
Siv Parker is an award-winning writer and blogger. Follow her on Twitter @SivParker.
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The Ethics Centre is a not-for-profit organisation developing innovative programs, services and experiences, designed to bring ethics to the centre of professional and personal life.
Feminist porn stars debunked
So-called feminist porn star James Deen has faced shocking accusations of rape from numerous women, including several female porn actors.
If true, it’s crucial Deen and men like him are held to account. But it’s also vital that porn producers, wholesalers, web hosts, and investors are not given a free pass. The porn industry deserves critique for feigning interest in respectful consensual sex while creating and profiting from its opposite – and doing so under the banner of feminism and ethics.
The porn industry is starting to brand itself as educational and ethical. The likes of Playboy are dedicating column inches to feminism, porn sites are handing out college scholarships and entire genres of porn are being dedicated to feminism.
“Feminist porn” is frequently cited as a solution, despite its limited popularity. Should it give us hope for a future of ethical porn? Recent events suggest not.
Deen’s ex-partner Stoya says he coerced her and pinned her down despite her pleas to stop. Her claims were followed by those of several other women alleging Deen had punched, injured, assaulted or anally raped them either on or off set. According to one:
He starts going crazy … extreme, brutally … He just starts shoving things in to the point where he ripped it [her rectum] and I bled everywhere. There was so much blood I couldn’t finish the scene.
Deen brands himself “a guy who bangs chicks for a living”. He features in numerous titles such as Teenaged Whores 5 and Triple Penetrated in Brutal Gangbang. Deen frequently appears on rough sex sites. He is also viewed as a “male feminist” by supporters.
But the accusations paint a different picture – of dangerous, misogynist ideals that hardly seem out of place in the thinly veiled “ethical” porn industry.
The popular notion that porn is mere fantasy with no link to real-world behaviour is challenged by the suggestion some of Deen’s ‘frape’ (fantasy rape) scenes may have been genuine rape on film. Moreover, it is alleged many of the porn crew were aware these acts were rape and congratulated Deen for getting anal scenes when they hadn’t been consented to.
These rape accusations make it clear pornography is not mere fantasy. Some may be footage of sexual violence and it has real negative effects for producers and consumers.
Yet, those harms are frequently denied. Such was the case when the ABC aired Australians on Porn. A Gold Coast Sexual Assault Centre Director was quoted on porn’s link to sexual violence:
“The biggest common denominator of the increase of intimate partner rape of women between 14 and 80 is the consumption of porn by the offender … We have seen a huge increase in deprivation of liberty, physical injuries, torture, drugging, sharing photos and film without consent and deprivation of liberty.”
This evidence was dismissed as “irrelevant” by some on the panel – the majority of whom were porn users and supporters. Porn, they suggested, isn’t to blame for negatively shaping behaviours. Rather, it opens minds and provides new ideas for the bedroom.
This argument sharply contrasts with police views and consistent research regarding the harmful effects of pornography. Studies backed by numerous meta-analysis show attitudes toward gender equality, sexual aggression and rape acceptance are worse for viewers of pornography.
The question is not whether a man can be feminist and a porn actor, but why an industry that promotes sexual violence and rape porn is regarded as ethical at all.
Young women are increasingly at risk. Forty percent of UK teenage girls report experiencing coerced sex acts and 25 percent report pressure to send pornographic texts. The ABC’s panel failed to include any person who could speak to the effect of porn in normalising harassing behaviours, sexual coercion, non-consensual filming or sexual violence. Nor did the panel give a flicker of thought to those harmed in production, or the girls, women and men who have quit on account of physical or emotional injury due to trends toward rough sex, choking and facial abuse.
After dismissing concerns about porn, the panel swiftly refocused on the positive effects of ethical and feminist porn before cutting to air a porn scene.
The ABC panel exemplified the dismissal of social harms with tokenistic stories of good. Those invested in porn are not unique from other industries in derailing critical dialogue with a perfunctory nod toward ethics.
These cynical displays of ethics are also used to gain greater political reach. Porn as sex education was recommended by some among the panel. James Deen regularly penned sex advice columns for mainstream feminist publications.
The question is not whether a man can be feminist and a porn actor, but why an industry that promotes sexual violence and rape porn is regarded as ethical at all. What of the ethical considerations stemming from the millions masturbating to scenes of sexual violence on film?
An industry that contributes to and profits from rape culture is an unlikely ally for gender equality.
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BY Laura McNally
Laura McNally is a psychologist, author and PhD candidate researching the political implications of corporate social responsibility. She is the chair of the Australian branch of Endangered Bodies.