Life and death decisions in the clinical setting: moral decision-making through discourse consensus
This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habermas's discourse theory of morality and...
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Singapore
Springer
[2017]
|
| Schriftenreihe: | Springer briefs in ethics
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habermas's discourse theory of morality and principles of communicative action, the book offers a proportionist approach as a way of balancing out the wisdom in traditional frameworks, set in the actual reality of the clinical situation at hand. Putting this approach into practice requires having a conversation, a dialogue or a discourse, with collaboration amongst all the stakeholders. The aim of the dialogue is to reach consensus in the decision, via mutual understanding of the values held by the patient and others whom they see as significant. This book aims to underscore the moral philosophical foundations for having a meaningful conversation. Life and Death Decision in the Clinical Setting is especially relevant in our contemporary era, characterised medically by an ever-increasing armamentarium of life-sustaining technology, but also by increasing multiculturalism, a multiplicity of faiths, and increasing value pluralism |
| Beschreibung: | x, 68 Seiten 24 cm |
| ISBN: | 9789811043000 9811043000 |
Internformat
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| 520 | 3 | |a This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habermas's discourse theory of morality and principles of communicative action, the book offers a proportionist approach as a way of balancing out the wisdom in traditional frameworks, set in the actual reality of the clinical situation at hand. Putting this approach into practice requires having a conversation, a dialogue or a discourse, with collaboration amongst all the stakeholders. The aim of the dialogue is to reach consensus in the decision, via mutual understanding of the values held by the patient and others whom they see as significant. This book aims to underscore the moral philosophical foundations for having a meaningful conversation. Life and Death Decision in the Clinical Setting is especially relevant in our contemporary era, characterised medically by an ever-increasing armamentarium of life-sustaining technology, but also by increasing multiculturalism, a multiplicity of faiths, and increasing value pluralism | |
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Datensatz im Suchindex
| _version_ | 1804177538257256448 |
|---|---|
| adam_text | Contents
1 Introduction: The Current Dilemma and the Need for Moral
Philosophy............................................................ 1
1.1 Why Does Medicine Need Moral Philosophy?......................... 1
1.2 Ethical Conflicts................................................ 2
1.3 Ethics or Morals?................................................ 3
1.4 The Rationale for This Book...................................... 4
1.5 Chapter Outline.................................................. 6
References............................................................ 8
2 Traditional Approaches to Ethical Decision Making..................... 11
2.1 What Can History Tell Us?....................................... 11
2.2 The Ethics of Trolley Cars Speeding Out of Control.............. 12
2.3 Deontology...................................................... 13
2.3.1 Personhood........................................... 15
2.3.2 Death in Intensive Care.................................. 16
2.4 Teleology....................................................... 18
2.5 Virtue Ethics................................................... 20
2.6 Islamic-Judaeo-Christian Influences............................. 22
2.7 Summary......................................................... 24
References........................................................... 24
3 Balancing Old and New Approaches: Principlism Versus
Proportionism........................................................ 27
3.1 Principlism..................................................... 27
3.1.1 Autonomy................................................. 27
3.1.2 Non-maleficence, Beneficence, Justice.................... 30
3.1.3 The Four Principles in Practice.......................... 31
3.2 The Proportionist Approach...................................... 32
3.3 Summary......................................................... 34
References........................................................... 35
ix
x Contents
4 The Foundations and Benefits of Dialogic Consensus................. 37
4.1 So What Is Different About Our Contemporary Era?.............. 37
4.2 The Discourse Theory of Morality and Communicative Action ... 40
4.3 Dialogue, Consensus, and Dialogic Consensus................... 41
4.3.1 Dialogue............................................... 41
4.3.2 Consensus.............................................. 45
4.3.3 Dialogic Consensus..................................... 47
4.4 An Example of a Case Conference Using Dialogic Consensus. ... 47
4.5 Summary....................................................... 49
References....................................................... 49
5 Challenges Facing Dialogic Consensus............................... 51
5.1 Challenges.................................................... 51
5.2 How We Know What We Know...................................... 52
5.3 Power in the Dialogue......................................... 54
5.4 Strategic Action Versus Communicative Action.................. 55
5.5 Moral Distress in the Dialogue.............................. 56
5.6 Participants in the Dialogue.................................. 58
5.7 Time and the Facilitator...................................... 58
5.8 Dissensus..................................................... 59
5.9 Summary....................................................... 61
References......................................................... 62
6 Conclusion: Looking to the Future of Moral Decision Making
in Clinical Settings............................................... 65
6.1 Looking to the Future......................................... 65
References......................................................... 67
|
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| contents | Introduction: the current dilemma and the need for moral philosophy -- Traditional approaches to ethical decision making -- Balancing old and new approaches: principlism versus proportionism -- The foundations and benefits of dialogic consensus -- Challenges facing dialogic consensus -- Conclusion: looking to the future of moral decision making in clinical settings |
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| illustrated | Not Illustrated |
| indexdate | 2024-07-10T07:49:40Z |
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| isbn | 9789811043000 9811043000 |
| language | English |
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| physical | x, 68 Seiten 24 cm |
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| series2 | Springer briefs in ethics |
| spelling | Walker, Paul Verfasser (DE-588)1095907859 aut Life and death decisions in the clinical setting moral decision-making through discourse consensus Paul Walker, Terence Lovat Singapore Springer [2017] © 2017 x, 68 Seiten 24 cm txt rdacontent n rdamedia nc rdacarrier Springer briefs in ethics Introduction: the current dilemma and the need for moral philosophy -- Traditional approaches to ethical decision making -- Balancing old and new approaches: principlism versus proportionism -- The foundations and benefits of dialogic consensus -- Challenges facing dialogic consensus -- Conclusion: looking to the future of moral decision making in clinical settings This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habermas's discourse theory of morality and principles of communicative action, the book offers a proportionist approach as a way of balancing out the wisdom in traditional frameworks, set in the actual reality of the clinical situation at hand. Putting this approach into practice requires having a conversation, a dialogue or a discourse, with collaboration amongst all the stakeholders. The aim of the dialogue is to reach consensus in the decision, via mutual understanding of the values held by the patient and others whom they see as significant. This book aims to underscore the moral philosophical foundations for having a meaningful conversation. Life and Death Decision in the Clinical Setting is especially relevant in our contemporary era, characterised medically by an ever-increasing armamentarium of life-sustaining technology, but also by increasing multiculturalism, a multiplicity of faiths, and increasing value pluralism Ethik Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Entscheidungsfindung (DE-588)4113446-1 gnd rswk-swf Decision making / Moral and ethical aspects Medical ethics Entscheidungsfindung (DE-588)4113446-1 s Medizinische Ethik (DE-588)4074672-0 s DE-604 Lovat, Terry Sonstige (DE-588)102693981X oth Digitalisierung BSB Muenchen - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029723853&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Walker, Paul Life and death decisions in the clinical setting moral decision-making through discourse consensus Introduction: the current dilemma and the need for moral philosophy -- Traditional approaches to ethical decision making -- Balancing old and new approaches: principlism versus proportionism -- The foundations and benefits of dialogic consensus -- Challenges facing dialogic consensus -- Conclusion: looking to the future of moral decision making in clinical settings Ethik Medizinische Ethik (DE-588)4074672-0 gnd Entscheidungsfindung (DE-588)4113446-1 gnd |
| subject_GND | (DE-588)4074672-0 (DE-588)4113446-1 |
| title | Life and death decisions in the clinical setting moral decision-making through discourse consensus |
| title_auth | Life and death decisions in the clinical setting moral decision-making through discourse consensus |
| title_exact_search | Life and death decisions in the clinical setting moral decision-making through discourse consensus |
| title_full | Life and death decisions in the clinical setting moral decision-making through discourse consensus Paul Walker, Terence Lovat |
| title_fullStr | Life and death decisions in the clinical setting moral decision-making through discourse consensus Paul Walker, Terence Lovat |
| title_full_unstemmed | Life and death decisions in the clinical setting moral decision-making through discourse consensus Paul Walker, Terence Lovat |
| title_short | Life and death decisions in the clinical setting |
| title_sort | life and death decisions in the clinical setting moral decision making through discourse consensus |
| title_sub | moral decision-making through discourse consensus |
| topic | Ethik Medizinische Ethik (DE-588)4074672-0 gnd Entscheidungsfindung (DE-588)4113446-1 gnd |
| topic_facet | Ethik Medizinische Ethik Entscheidungsfindung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029723853&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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