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Ethics Consultation: The Least Dangerous Profession?

Published online by Cambridge University Press:  29 July 2009

Giles R. Scofield
Affiliation:
Health Law Program at Pace University School of Law, White Plains, New York
John C. Fletcher
Affiliation:
University of Virginia Health Sciences Center, Charlottesville, Virginia
Albert R. Jonsen
Affiliation:
Department of Medical History and Ethics, School of Medicine, University of Washington, Seattle
Christian Lilje
Affiliation:
University of Freiburg Medical School, Freiburg, Germany
Donnie J. Self
Affiliation:
Humanities in Medicine, Pediatrics, and Philosophy, College of Medicine, Texas A&M University, College Station
Judith Wilson Ross
Affiliation:
Center for Healthcare Ethics, St. Joseph Health System, Orange, California

Extract

Whether ethics is too important to be left to the experts or so important that it must be is an age-old question. The emergence of clinical ethicists raises it again, as a question about professionalism. What role clinical ethicists should play in healthcare decision making – teacher, mediator, or consultant – is a question that has generated considerable debate but no consensus.

Type
Special Section: Ethics Consultants and Ethics Consultations
Copyright
Copyright © Cambridge University Press 1993

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References

1. Noble, CN. Ethics and experts. Hastings Center Report 1982; 12(3):79.CrossRefGoogle ScholarPubMed

2. La Puma, J, Schiedermayer, DL. Ethics consultation: skills, roles, and training. Annals of Internal Medicine 1991;114:155–60.CrossRefGoogle ScholarPubMed

3. Singer, PA, Pellegrino, ED, Siegler, M. Ethics committees and consultants. Journal of Clinical Ethics 1990;1:263–7.Google ScholarPubMed

4. Larson, MS. The Rise of Professionalism. Berkeley: University of California Press, 1977.Google Scholar

5. Freidson, E. Professional Dominance. New York: Atherton, 1970.Google Scholar

6. Self, DJ, Skeel, JD. A study of the foundations of ethical decision making of clinical ethicists. Theoretical Medicine 1991;12:117–27.CrossRefGoogle Scholar

7. Berlin, I. The pursuit of the ideal. In: Hardy, H, ed. The Crooked Timber of Humanity. New York: Vintage, 1992:119.Google Scholar

8. Jaggar, AM. Feminist ethics: projects, problems, prospects. In: Card, C, ed. Feminist Ethics. Lawrence: University of Kansas Press, 1991:78104.Google Scholar

9. Dula, A. Toward an Afro-American perspective on bioethics. Journal of Health Care for the Poor and Undersewed 1991;2:259–69.CrossRefGoogle ScholarPubMed

10. Lungones, MC, Spelman, EV. Have we got a theory for you! Feminist theory, cultural imperialism, and the demand for the “woman's voice”. Women's Studies International Forum 1983;6:573–81.CrossRefGoogle Scholar

11. Spelman, EV. Inessential Woman: Problems of Exclusion in Feminist Thought. Boston: Beacon Press, 1988.Google Scholar

12. Sherwin, S. No Longer Patient: Feminist Ethics and Health Care. Philadelphia: Temple University Press, 1992.Google Scholar

13. Callahan, S. The use of emotion in ethical decision making. Hastings Center Report 1988; 18(3):914.CrossRefGoogle Scholar

14. Alderson, P. Abstract bioethics ignores human emotions. Bulletin of Medical Ethics 1991(05): 1321.Google ScholarPubMed

15. La Puma, J. Consultation in clinical ethics – issues and questions. Western Journal of Medicine 1987;149:633–7.Google Scholar

16. Siegler, M. Defining the goals of clinical ethics consultation: a necessary step for improving quality. Quality Review Bulletin 1992;18(1):15–6.CrossRefGoogle ScholarPubMed

17. Tulsky, JA, Lo, B. Ethics consultation: time to focus on patients. American Journal of Medicine 1992;92:343–5.CrossRefGoogle ScholarPubMed

18. Barnard, D. Reflections of a reluctant clinical ethicist: ethics consultation and the collapse of critical distance. Theoretical Medicine 1992;13:1522.CrossRefGoogle ScholarPubMed

19. Frader, JE. Political and interpersonal aspects of ethics consultation. Theoretical Medicine 1992;13:3144.CrossRefGoogle ScholarPubMed

20. Hare, RM. Medical ethics: can the moral philosopher help? In: Spicker, SF, Engelhardt, HT, eds. Philosophical Medical Ethics: Its Nature and Significance. Dodrecht, The Netherlands: Reidel, 1977:4962.CrossRefGoogle Scholar

21. Kushner, T, Belliotti, RA, Buckner, D. Toward a methodology for moral decision making in medicine. Theoretical Medicine 1991;12:281–93.CrossRefGoogle Scholar

22. Scofield, GR. The problem of the impaired clinical ethicist. Quality Review Bulletin 1992; 18(1):2632.CrossRefGoogle ScholarPubMed

23. Berger, PL. The Sacred Canopy. New York: Doubleday, 1967:105–71.Google Scholar

24. Parsons, T. Research with human subjects and the professional complex. Daedalus 1969;98:349.Google Scholar

25. Freidson, E. Professional Powers. Chicago: University of Chicago Press, 1986:616.Google Scholar

26. Freidson, E. Profession of Medicine. New York: Harper & Row, 1970:389.Google Scholar

27. Lukes, S. Power and authority. In: Bottomore, T, Nisbet, R, eds. A History of Sociological Analysis. New York: Basic Books, 1978:642.Google Scholar

28. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Making Health Care Decisions. Washington, D.C.: U.S. Government Printing Office, 1982:44–5.Google Scholar

29. Thompson, DW. Political Ethics and Public Office. Cambridge, Massachusetts: Harvard University Press, 1987:4065.Google Scholar

30. Ross, JW. Case consultation: the committee or the clinical consultant? HEC Forum 1990;2:293.CrossRefGoogle ScholarPubMed

31. Callahan, D. Bioethics as a discipline. Hastings Center Studies 1973; 1(2):6673.CrossRefGoogle ScholarPubMed

32. Clouser, KD. Medical ethics: some uses, abuses, and limitations. New England Journal of Medicine 1975;293:384–7.CrossRefGoogle ScholarPubMed

33. Walzer, M. Philosophy and democracy. Political Theory 1981;9:379–9.CrossRefGoogle Scholar

34. Guttman, A. Democratic Education. Princeton, New Jersey: Princeton University Press, 1987.Google Scholar

35. Singer, P. How do we decide? Hastings Center Report 1982; 12(3):10.Google ScholarPubMed

36. Pellegrino, ED, Siegler, M, Singer, PA. Future directions in clinical ethics. Journal of Clinical Ethics 1991;2:29.Google ScholarPubMed

37. Elliott, C. Where ethics comes from and what to do about it. Hastings Center Report 1992;22(4):35Google Scholar