Moral Distress, Disempowerment, and Responsibility

Since Andrew Jameton first introduced the concept of moral distress, a growing theoretical literature has attempted to identify its distinctive features. This theoretical work has overlooked a central feature of morally distressing situations: disempowerment. My aim is to correct this neglect by arguing for a new test for theories of moral distress. I call this the disempowerment requirement: a theory of moral distress ought to accommodate the disempowerment of morally distressing situations. I argue for the disempowerment requirement and illustrate how to apply it by showing that recent responsibility-based theories of moral distress fail to pass the test.