Abstract
Over the past 25 years, I was privileged to consult on a large number of individual clinical encounters, during which I was seen, and served, as an “ethicist”. At the same time, these and other facets of health care attracted my philosophical interests. Accordingly, a distinction became necessary so to enable keeping very different sorts of questions and problems distinct.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
As I note later, others—persons, professions, and institutions (with their departments, units, etc.)—are also invariably involved, albeit in different ways.
- 2.
The Hippocratic virtues—justice (dīke) and self-restraint (sophrōsyne)—commonly accepted as key to the Western medical traditions come into play at just this point.
- 3.
See, for instance, his Field of Consciousness, Duquesne University Press, 1964.
- 4.
By now, moreover, there seems little doubt but that the fetus also relates, in its own unique manner, to the womb bearing the fetus.
- 5.
As anyone will recognize, after even brief reflection, even a physician’s raised eyebrows at a specific moment during a conversation with a patient, can be taken by the patient as highly significant.
- 6.
As with all human action, things may change as the consultant begins and then proceeds; the consultant may well become a more central ‘issue’ than other ethical matters.
- 7.
A good case might be made for conceiving clinical ethics as such an interpretive discipline, as I’ve argued elsewhere.
References
Agee, James, and Walker Evans. 1939. Let us now praise famous men. New York: Houghton Mifflin.
Blythe, Ronald. 1991. Introduction. In The death of Ivan Ilyich, ed. Leo Tolstoy. New York: Bantam Books.
Cassell, Eric J. 1973. Making and escaping moral decisions. The Hastings Center Report 1: 53–62.
Cassell, Eric J. II 1985. Talking with patients, vol. II. Boston: MIT Press.
Edelstein, Ludwig. 1967. Ancient medicine. Baltimore: John Hopkins University Press.
Kierkegaard, S. 1954. The sickness unto death (with Fear and trembling). Princeton: Princeton University Press.
Kleinman, Arthur. 1988. The illness narratives. New York: Basic Books, Inc.
Komesaroff, Paul. 1995. From bioethics to microethics: Ethical debate and clinical medicine. In Troubled bodies: Critical perspectives on postmodernism, medical ethics, and the body, ed. Paul A. Komesaroff. Durham/London: Duke University Press.
Pellegrino, Edmund D., and David C. Thomasma. 1981. A philosophical basis of medical practice. New York/Oxford: Oxford University Press.
Schutz, Alfred, and Thomas Luckmann. I: 1973. Structures of the life-world, 2 vols. Evanston: Northwestern University Press.
Schutz, Alfred, and Thomas Luckmann. II: 1989. Structures of the life-world, 2 vols. Evanston: Northwestern University Press.
Zaner, R.M. 1981. The context of self. Athens: Ohio University Press.
Zaner, R.M. 1996. Listening or telling? Thoughts on responsibility in clinical ethics consultation. Theoretical Medicine 17(3): 255–277.
Zaner, R.M. 2004. Conversations on the edge: Narratives of ethics and illness. Washington, DC: Georgetown University Press.
Zaner, R.M. 2005a. But how can we choose? The Journal of Clinical Ethics 16(Fall): 218–222.
Zaner, R.M. 2005b. Parental voices: Randal Lewis Morris was born. In Parental voices in maternal-fetal surgery, a special issue of Clinical Obstetrics and Gynecology, vol. 48, no. 3, ed. Larry R. Churchill and Mark J. Bliton, 548–561. Philadelphia: Lippincott Williams & Wilkins.
Zaner, R.M. 2007–2008. “It must have rained hard that night in March,” a story. Langdon Review of the Arts in Texas 4: 210–222.
Zaner, R.M. 2012. At play in the field of possibles: An essay on free-phantasy method and the foundation of self. Bucharest: Zeta Books.
Zaner, R.M. 2013–2014. “The indomitable Rachel Bittman,” a story. Langdon Review of the Arts in Texas 10: 68–79.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Zaner, R.M. (2015). Clinical Listening, Narrative Writing. In: A Critical Examination of Ethics in Health Care and Biomedical Research. International Library of Ethics, Law, and the New Medicine, vol 60. Springer, Cham. https://doi.org/10.1007/978-3-319-18332-9_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-18332-9_8
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18331-2
Online ISBN: 978-3-319-18332-9
eBook Packages: Humanities, Social Sciences and LawPhilosophy and Religion (R0)