Skip to main content

NSCSW Connection Fall 2022: Self-medication

Page 16

MORAL DISTRESS & COLLECTIVE ADVOCACY Moving beyond individualization of ethical struggle As social workers who labour in systems, we are embedded

with the violence of corporations toward labourers, citizens,

in structures and processes designed to maintain the status

and the natural world, i.e., mining projects in Canada and

quo, what Dorothy Smith (1996) so aptly terms “relations of

abroad, or the recently reported corporate concentration of

ruling.” This embeddedness has been exacerbated by changes

agribusiness controlling the production, distribution, and

to the social work profession over the last two decades such

pricing of food across the globe. We often fail to connect the

as the marketization of social welfare. Our sphere of action as

violence of the political economy to our experiences of moral

social workers has shrunk alarmingly and we often have little

distress in the workplace, instead drawing a line about causes

power to address clients’ needs. Support for recognizing, let

at the walls of the organization.

alone exploring, ethical struggles in the workplace appears to have evaporated under managerialism. Also, organizational

These tentacles of violence encompass the often futile

discourse often employs middle-class language to frame moral

social work task of trying to marshal scarce or non-existent

distress as individual rather than systemic and structural.

resources for clients, i.e., helping a client find decent and affordable housing or resolve an issue for which there are no

In the situations of moral distress I have experienced,

cross-institutional policies. Frustration and anger are healthy

I have felt frustrated and powerless even when I have

the individual client. At an organizational level, managers may

acted in good faith to resolve them within the web of relationships in the organization.

responses to systemic and structural issues much larger than be unable or unwilling to act or problem-solve to support staff facing moral distress. Violence erupts from a particular set of values to constrict the political choices of politicians and citizens, choke off life-giving public policies, and incapacitate hierarchical bureaucratic systems to disregard workers and

Predominantly I have felt torn asunder by tentacles of violence

clients (citizens). Thus, moral distress generated by such

that both pummel from a distance and buffet the workplace.

violence cannot be resolved by individual advocacy, by moral

Violence is pervasive in our Western colonialist capitalist

courage, or by unrelenting rage because the situations that

society; it is normalized, legitimized, and socially tolerated as

produce it have their roots in oppressive values, systems,

the way it is. Think of the everyday violence carried out here

and structures.

in Canada and globally. There is the violence of class and other “isms” perpetuated and legislated by our political and

An alternative definition of moral distress may help us

economic institutions, ensuring vast inequalities of income

appreciate the range of emotional responses to moral

and wealth as well as inequities in access to health care.

compromise: “One or more negative self-directed emotions or

The violence of the fossil fuel industry and the governments

attitudes that arise in response to one’s perceived involvement

subsidizing it are destroying the Earth and all her living things.

in a situation that one perceives to be morally undesirable”

And then there is the violence of driving Indigenous peoples

(Campbell, Ulrich & Grady, 2018, p. 67). I have certainly

from their land and demolishing their “life-worlds” (Ghosh,

experienced the erosion of self-respect, purpose, and even

2021, p. 67) in the Amazon and elsewhere. We live daily

of the life force itself. Feeling powerless, anguished, trapped,

16 Connection | Fall 2022


Turn static files into dynamic content formats.

Create a flipbook
NSCSW Connection Fall 2022: Self-medication by Nova Scotia College of Social Workers - Issuu