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Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 60))

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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.

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Notes

  1. 1.

    As I note later, others—persons, professions, and institutions (with their departments, units, etc.)—are also invariably involved, albeit in different ways.

  2. 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. 3.

    See, for instance, his Field of Consciousness, Duquesne University Press, 1964.

  4. 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. 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. 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. 7.

    A good case might be made for conceiving clinical ethics as such an interpretive discipline, as I’ve argued elsewhere.

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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

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