Abstract
Essays by Thomasma and ten Have recommend hermeneutical clinical ethics. The use Thomasma makes of hermeneutics is not radical enough because it leaves out basic interpretation of clinical practice and focuses narrowly on ethical principles and rules. Ten Have, while failing to notice that the hyperreality of clinical ethics is a feature of all language, rightly distinguishes four characteristic parameters of a thoroughgoing interpretive clinical ethics: experience, attitudes and emotions, community, and ambiguity. Suggestions are made for implementing hermeneutical ethics in clinical teaching.
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References
Thomasma DC, Clinical ethics as medical hermeneutics.Theor Med 1994;15:93–111. This issue.
Ten Have HAMJ. The hyperreality of clinical ethics: a unitary theory and hermeneutics.Theor Med 1994;15:113–131. This issue.
Pellegrino ED, Thomasma DC.A Philosophical Basis of Medical Practice. New York and London: Oxford University Press, 1981.
Daniel SL. The patient as text: a model of clinical hermeneutics.Theory Med 1986;7:194–210.
Cruzan v Director, Missouri Dept of Health, 1990 US Lexis 3301 (US June 25, 1990).
Derrida J.Of Grammatology. Baltimore: Johns Hopkins University Press, 1976.
Derrida J. Plato's pharmacy. In his:Dissemination. Chicago: University of Chicago Press, 1981:61–171.
Brody H.Stories of Sickness. New Haven: Yale University Press, 1987.
Jonsen AR, Siegler M, Winslade WJ.Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine. 2nd ed. New York: Macmillan Publishing Company, 1986.
Gilligan C.In a Different Voice: Psychological Theory and Women's Development. Cambridge: Harvard University Press, 1982.
Noddings N.Caring: A Feminine Approach to Ethics and Moral Education. Berkeley: University of California Press, 1984.
Nussbaum MC.The Fragility of Goodness: Luck and Ethics in Greek Tragedy and Philosophy. Cambridge: Cambridge University Press, 1986.
Pirsig RM.Lila: An Inquiry into Morals. New York: Bantam Books, 1991.
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Daniel, S.L. Hermeneutical clinical ethics: A commentary. Theoretical Medicine 15, 133–139 (1994). https://doi.org/10.1007/BF00994021
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DOI: https://doi.org/10.1007/BF00994021