Core Competencies for Health Care Ethics Consultants: In Search of Professional Status in a Post-Modern World
- H. Tristram Engelhardt Jr.
- … show all 1 hide
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
The American Society for Bioethics and the Humanities (ASBH) issued its Core Competencies for Health Care Ethics Consultation just as it is becoming ever clearer that secular ethics is intractably plural and without foundations in any reality that is not a social–historical construction (ASBH Core Competencies for Health Care Ethics Consultation, 2nd edn. American Society for Bioethics and Humanities, Glenview, IL, 2011). Core Competencies fails to recognize that the ethics of health care ethics consultants is not ethics in the usual sense of a morally canonical ethics. Its ethics is the ethics established at law and in enforceable health care public policy in a particular jurisdiction. Its normativity is a legal normativity, so that the wrongness of violating this ethics is simply the legal penalties involved and the likelihood of their being imposed. That the ethics of ethics consultation is that ethics legally established accounts for the circumstance that the major role of hospital ethics consultants is as quasi-lawyers giving legal advice, aiding in risk management, and engaging in mediation. It also indicates why this collage of roles has succeeded so well. This article shows how moral philosophy as it was reborn in the 13th century West led to the ethics of modernity and then finally to the ethics of hospital ethics consultation. It provides a brief history of the emergence of an ethics that is after morality. Against this background, the significance of Core Competencies must be critically reconsidered.
- American Society for Bioethics & Humanities. (2011). Core competencies for healthcare ethics consultation (2nd ed.). Glenview, IL: American Society for Bioethics and Humanities.
- Beauchamp, T. (2004). Does ethical theory have a future in bioethics? Journal of Law, Medicine & Ethics, 32, 209–217. CrossRef
- Caws, P. (1991). Committees and consensus: How many heads are better than one? Journal of Medicine and Philosophy, 16.4, 375–391.
- Chrysostom, S. (1994). Nicene and post-Nicene fathers: Homilies on the Gospel of Saint Matthew (Vol. 10). Peabody, MA: Hendrickson Publishers.
- Engelhardt, H. T, Jr. (1999). Healthcare ethics committees: Re-examining their social and moral functions. HEC Forum, 11.2, 87–100. CrossRef
- Engelhardt, H. T, Jr. (2000). The foundations of Christian bioethics. Salem, MA: Scrivener Publishing.
- Engelhardt, H. T, Jr. (2003). The bioethics consultant: Giving moral advice in the midst of moral controversy. HEC Forum, 15.4(December), 362–382. CrossRef
- Engelhardt, H. T, Jr. (2006). Critical reflections on theology’s handmaid: Why the role of philosophy in Orthodox Christianity is so different. Philosophy & Theology, 18.1, 53–75.
- Engelhardt, H. T, Jr. (2007). The Euthyphro’s dilemma reconsidered: A variation on a theme from Brody on halakhic method. In M. Cherry & A. Iltis (Eds.), Pluralistic casuistry (pp. 109–130). Dordrecht: Springer. CrossRef
- Engelhardt, H. T, Jr. (2009). Credentialing strategically ambiguous and heterogeneous social skills: The emperor without clothes. HEC Forum, 21.3, 293–306. CrossRef
- Engelhardt, H. T, Jr. (2010a). Moral obligation after the death of God: Critical reflections on concerns from Immanuel Kant, G.W.F. Hegel, and Elizabeth Anscombe. Social Philosophy & Policy, 27.2, 317–340. CrossRef
- Engelhardt, H. T, Jr. (2010b). Kant, Hegel, and Habermas: Reflections on ‘Glauben und Wissen’. The Review of Metaphysics, 63.4, 871–903.
- Engelhardt, H. T, Jr. (2011a). Confronting moral pluralism in posttraditional Western societies: Bioethics critically reassessed. Journal of Medicine and Philosophy, 36.3, 243–260. CrossRef
- Engelhardt, H. T, Jr. (Ed.). (2011b). Bioethics critically reconsidered: Having second thoughts. Dordrecht: Springer.
- Fox, E., Myers, S., & Pearlman, R. A. (2007). Ethics consultation in United States hospitals: A national survey. American Journal of Bioethics, 72, 13–25.
- Hegel, G. W. F. (1968). Jenaer kritische Schriften, in Gesammelte Werke (Vol. 4). Hamburg: Meiner.
- Hegel, G. W. F. (1977). Faith and knowledge. W. Cerf & H. S. Harris (Trans.). Albany: State University of New York Press.
- Hegel, G. W. F. (1991). Elements of the philosophy of right. A. W. Wood (Ed.), H. B. Nisbet (Trans.). Cambridge: Cambridge University Press.
- Knowles, D. (1962). The evolution of medieval thought. New York: Vintage Books.
- Kuehn, M. (2001). Kant: A biography. Cambridge: Cambridge University Press.
- May, T. (2001). The breadth of bioethics: Core areas of bioethics education for hospital ethics committees. Journal of Medicine and Philosophy, 26.1, 101–118. CrossRef
- Moreno, J. (1988). Ethics by committee: The moral authority of consensus. Journal of Medicine and Philosophy, 13.4, 411–432.
- Moreno, J. (1991). Consensus, contracts, and committees. Journal of Medicine and Philosophy, 16.4, 393–408.
- Rawls, J. (1985). Justice as fairness: Political not metaphysical. Philosophy & Public Affairs, 14(Summer), 223–251.
- Tertullian. (1994). In A. Roberts & J. Donaldson (Eds.), Ante-Nicene fathers, Latin Christianity: Its founder, Tertullian. (Vol. 3). Peabody, MA: Hendrickson Publishers.
- Tong, R. (1991). The epistemology and ethics of consensus: Uses and misuses of ‘ethical’ expertise. Journal of Medicine and Philosophy, 16(4), 409–426.
- Vattimo, G. (1991). The end of modernity. J. R. Snyder (Trans.). Baltimore: Jon R. Snyder.
- Wildes, S. J., & Kevin, W. M. (1993). The priesthood of bioethics and ethics and the return of casuistry. Journal of Medicine and Philosophy, 18.1, 33–49.
- Zaner, R. (1993). Voices and time: The venture of clinical ethics. Journal of Medicine and Philosophy, 18.1, 9–31.
- Core Competencies for Health Care Ethics Consultants: In Search of Professional Status in a Post-Modern World
Volume 23, Issue 3 , pp 129-145
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Clinical ethics
- Hospital ethics consultants
- Moral pluralism
- Industry Sectors
- H. Tristram Engelhardt Jr. (1) (2)
- Author Affiliations
- 1. Department of Philosophy, Rice University, MS 14, P.O. Box 1892, Houston, TX, 77251-1892, USA
- 2. Baylor College of Medicine, Houston, TX, USA