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authority is refuted by Kohlberg’s research. Kohlberg et al (1975) found that parents,<br />
teachers, and church leaders are only partly influential, with peers at least as important<br />
as adults in influencing moral development. Their research also demonstrates that<br />
children who belong to families and other groups where there was moral discussion and<br />
dialogue, took responsibility for decisions and were more advanced in their moral<br />
development (Kohlberg et al, 1975). These findings suggest that the role of moral<br />
values in decision making may be influenced by complex social and cultural systems<br />
which impart, support and sustain their use. For example, if a child is taught to always<br />
play fair at home and at school, then the value of fairness may be more likely to be<br />
instrumental in the child’s decision making both in her home and school environment.<br />
Conversely, if the child’s school environment does not support and teach fairness, that<br />
value is less likely to be instrumental at school.<br />
Context appears to be influential on the function and instrumentality of values.<br />
Kohlberg’s work with prisoners supports this view. Kohlberg, Scharf and Hickey<br />
(1973) found that the moral values that prisoners used to solve dilemmas in prison was<br />
of a standard much lower than that used for non-prison dilemmas. Perceptions about<br />
what should be done inside the prison were different and of a “lower moral order” than<br />
what should be done outside of the prison (Kohlberg et al, 1973). Their research also<br />
found that exploitative peer culture and the prison authority system encouraged<br />
judgment more consistent with primitive reasoning in decision making about action.<br />
The social environment of the prison was directly influential on the values employed by<br />
prisoners in their decision making in that context.<br />
Professional and institutional values<br />
The societies and cultures that we grow up in and are part of can impart, support and<br />
sustain our values. The environments in which we work, and the professions we<br />
occupy, must also then be influential on the role and instrumentality of our values. For<br />
example, Paul (2000) proposes that there is a clear distinction between internal and<br />
external morality in health care. Internal morality arises from within a community of<br />
practitioners based on how one should behave in one’s daily work, which are shared<br />
and learnt from one another. External morality, conversely, is the view from the<br />
outside, reflecting the ethos of wider society (Paul, 2000). The idea of internal and<br />
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