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Johns Hopkins University Press
Ethics Consultation: From Theory to Practice / Edition 1

Ethics Consultation: From Theory to Practice / Edition 1

by Mark P. Aulisio


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Product Details

ISBN-13: 2900801871657
Publisher: Johns Hopkins University Press
Publication date: 05/08/2003
Edition description: New Edition
Pages: 240
Product dimensions: 6.00(w) x 1.25(h) x 9.00(d)

About the Author

Mark P. Aulisio, Ph.D., is an Assistant Professor of Bioethics and Director of the Clinical Ethics Program at MetroHealth Medical Center at Case Western Reserve University. Robert M. Arnold, M.D., is Professor and Leo H. Criep Chair in Patient Care in the Department of Medicine of the University of Pittsburgh School of Medicine, Associate Director for Education at the Center for Bioethics and Health Law, and Chief of the Section of Palliative Care and Medical Ethics.Stuart J. Youngner, M.D., is Chairman of the Department of Bioethics and Susan B. Watson Professor of Bioethics, and Professor of Psychiatry at Case Western Reserve University School of Medicine

Table of Contents

List of Contributorsix
IFoundational and Theoretical Questions1
1.Meeting the Need: Ethics Consultation in Health Care Today3
Is There a Need?5
Values and Medical Decision Making8
Convergence in the Clinic: The Need for Ethics Consultation8
Finding an Appropriate Approach to Ethics Consultation9
2.Can Ethics Consultation Be Saved? Ethics Consultation and Moral Consensus in a Democratic Society23
Ethics Consultation and the Pursuit of the Good24
Morality and Democracy27
Hazards along the Way29
Avoiding Moral Relativism and Spiritual Bankruptcy31
3.Character and Ethics Consultation: Even the Ethicists Don't Agree36
The Importance of Character for Ethics Consultants37
Whose Virtue? Which Character?45
Conclusion: "But There Is Some Common Ground"48
IIPractical Questions51
4.Innovative Educational Programs: A Necessary First Step toward Improving Quality in Ethics Consultation53
Face-to-Face Educational Programs57
Distance Learning62
Fellowships, Certificates, and Degree Programs66
Continuing Support and Mentoring66
5.Techniques for Training Ethics Consultants: Why Traditional Classroom Methods Are Not Enough70
Conceptions of Bioethics Consultation71
Competencies Required to Serve as an Ethics Facilitator72
Training for an Ethics Facilitator73
Teaching Facilitation: Knowledge and Skills77
6.Models for Ethics Consultation: Individual, Team, or Committee?88
Individual Consultant88
Small-Group Consultation Team90
Full Ethics Committee92
Contextual and Practical Issues93
A Mixed Model94
7.The Structure and Process of Ethics Consultation Services96
Structures for Ethics Consultation96
The Process of Ethics Consultation99
Institutional Policy on Ethics Consultation105
Legal Cases Naming Ethics Committees or Consultants105
8.Institutional Support for Bioethics Committees121
Legitimizing the Ethics Consultation Service122
Infrastructure Support of the Ethics Consultation Service123
Administrative Management of Controversies Caused by Ethics Consultation125
IIIQuestions on the Horizon129
9.Organizational Ethics: Promises and Pitfalls131
The Separation of Clinical and Organizational Ethics133
The Structure of Ethics Committees and Consultation Services135
The Approach to Organizational Ethics Consultation140
Competencies for Organizational Ethics Consultation143
10.The Licensing and Certification of Ethics Consultants: What Part of "No!" Was So Hard to Understand?147
Who Is a Professional?149
Some Practical Difficulties with Licensure and Certification152
Some Philosophical Questions Raised by Licensure and Certification156
A Temporizing Conclusion to Some Intemperate Arguments159
AppendixCore Competencies for Health Care Ethics Consultation: The Report of the American Society for Bioethics and Humanities165

What People are Saying About This

Bernard Lo

"A very important topic from the leaders in the field."

Susan B. Rubin

"This book is an important and welcome addition to the scholarship in the field. Addressing the current state and future direction of ethics consultation, it offers a thoughtful overview of some of the most important issues currently debated, from foundational theoretical questions to more practical strategic concerns. It makes a substantial contribution to the literature and will certainly be widely read and referenced."

Reading Group Guide

A very important topic from the leaders in the field.

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