Were the "Pioneer" Clinical Ethics Consultants "Outsiders"? For Them, Was "Critical Distance" That Critical?

The American Journal of Bioethics : AJOB
Bruce D WhiteCassandra J Rivais

Abstract

"Clinical ethics consultants" have been practicing in the United States for about 50 years. Most of the earliest consultants-the "pioneers"-were "outsiders" when they first appeared at patients' bedsides and in the clinic. However, if they were outsiders initially, they acclimated to the clinical setting and became "insiders" very quickly. Moreover, there was some tension between traditional academics and those doing applied ethics about whether there was sufficient "critical distance" for appropriate reflection about the complex medical ethics dilemmas of the day if one were involved in the decision making. Again, the pioneers deflected concerns by identifying and instituting safeguards to assure professional objectivity in clinical ethics consultation services. One might suggest that in moving inside and establishing normative practices, the pioneer clinical ethics consultants anticipated adoption of their routines and professionalization of the field.

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Citations

Jun 1, 2018·The American Journal of Bioethics : AJOB·Haavi Morreim
Jun 1, 2018·The American Journal of Bioethics : AJOB·Cynthia M A Geppert, Toby Schonfeld
Jun 1, 2018·The American Journal of Bioethics : AJOB·Allen Alvarez
Jun 1, 2018·The American Journal of Bioethics : AJOB·Mark J Bliton, Virginia L Bartlett
Jun 1, 2018·The American Journal of Bioethics : AJOB·John J Paris
Jun 1, 2018·The American Journal of Bioethics : AJOB·Kate Payne
Jun 1, 2018·The American Journal of Bioethics : AJOB·Tod Chambers
Jun 1, 2018·The American Journal of Bioethics : AJOB·George J Agich
Jun 1, 2018·The American Journal of Bioethics : AJOB·Robert Baker
Jun 1, 2018·The American Journal of Bioethics : AJOB·Christine GradyCynda Rushton
Jun 1, 2018·The American Journal of Bioethics : AJOB·Alessandra GasparettoMario Picozzi
Jun 1, 2018·The American Journal of Bioethics : AJOB·Kristina Orfali
Oct 1, 2019·Sociology of Health & Illness·Katrina Hauschildt, Raymond De Vries
Feb 1, 2020·Minerva anestesiologica·Mario Picozzi, Alessandra Gasparetto
Jan 21, 2022·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Jason D Keune, Erica Salter

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