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The Therapeutic Relationship: Is Moral Conduct a Necessary Condition?

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Book cover The Clinical Encounter

Part of the book series: Philosophy and Medicine ((PHME,volume 14))

Abstract

The question posed in the title of this essay would engage the interest of philosophers. Any serious attempt to answer it, as it is stated, requires skill at the clarification of concepts, like ‘therapeutic’ and ‘relationship’, adeptness at logical argument in demonstrating ‘necessary conditions’, and awareness of the normative and metaethical complexity involved in defining ‘moral conduct’. This is worthy work, but I shall, for the most part, refrain from it. Moreover, the way the question is posed leads toward considerations more theoretical than practical. The most philosophically pleasing result would be a clearer understanding of the meaning of the question and of the sorts of arguments which might allow it to be answered in some meaningful way. Again, this is valuable but, to some extent, unsatisfactory. It is the answer, not the ways of answering, which engages the interests of an audience different from the philosophers: namely, those who are related in the therapeutic relationship — physician and patient.

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Bibliography

  1. Baier, K.: 1965, The Moral Point of View, Random House, New York.

    Google Scholar 

  2. Cassell, E.: 1976, The Healer’s Art, Lippencott, Philadelphia.

    Google Scholar 

  3. Clinical Competence in Internal Medicine, 1979, American Board of Internal Medicine, Philadelphia.

    Google Scholar 

  4. Downie, R. S. and Telfer, E.: 1970, Respect for Persons, Schocken Books, New York.

    Google Scholar 

  5. Downie, R. S.: 1971, Roles and Values, Methuen, London.

    Google Scholar 

  6. Edelstein, L.: 1967, ‘The Professional Ethics of the Greek Physician’, Ancient Medicine, The Johns Hopkins Press, Baltimore.

    Google Scholar 

  7. Etziony, M. B.: 1973, The Physician’s Creed, Charles Thomas, Springfield.

    Google Scholar 

  8. Fox, R.: 1980, ‘Vision and Reality: The Evolution of Medical Uncertainty’, Milbank Memorial Quarterly Health and Society 58, 1–28.

    Article  Google Scholar 

  9. Friedson, E.: 1970, The Profession of Medicine: A Study in the Sociology of Applied Knowledge, Dodd, Mead, New York.

    Google Scholar 

  10. Huston, W. R.: 1938, ‘The Doctor Himself as Therapeutic Agent’, Annals of Internal Medicine 11, 1416–1420.

    Google Scholar 

  11. Hyatt, H.: 1974, ‘Protecting the Medical Commons: Who is Responsible’, New England Journal of Medicine 293, 235–238.

    Article  Google Scholar 

  12. Jonsen, A. R.: 1977, ‘Medical Ethics, Europe in the 17th Century’, Encyclopedia of Bioethics, Vol. 3, The Free Press, New York, pp. 954–956.

    Google Scholar 

  13. Lasagna, L.: 1977, ‘Discussion of Do No Harm’, in S. Spicker and H. T. Engelhardt, Jr. (eds.), Philosophical Medical Ethics: Its Nature and Significance, Reidel, Boston.

    Google Scholar 

  14. Maclntyre, A.: 1981, After Virtue, Notre Dame University Press, Notre Dame.

    Google Scholar 

  15. Outka, G.: 1974, ‘Social Justice and the Right to Health Care’, Journal of Religious Ethics 2, 11–32.

    Google Scholar 

  16. Parsons, T.: 1951, The Social System, Free Ptess, Glencoe.

    Google Scholar 

  17. Pellegrino, E. D.: 1979, ‘Toward a Reconstruction of Medical Morality: The Primacy of Profession and the Fact of Illness’, Journal of Medicine and Philosophy 4, 32–56.

    Google Scholar 

  18. Searle, J.: 1964, ‘How to Derive Is from Ought’, Philosophical Review 73, 43–58.

    Article  Google Scholar 

  19. Sheehan, T. J., et al.: 1980, ‘Moral Judgment as a Prediction of Clinical Performance’, Evaluation and the Health Professions, pp. 393–404.

    Google Scholar 

  20. Sigerist, H.: 1941, Medicine and Human Welfare, Yale University Press, New Havea

    Google Scholar 

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© 1983 D. Reidel Publishing Company

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Jonsen, A.R. (1983). The Therapeutic Relationship: Is Moral Conduct a Necessary Condition?. In: Shelp, E.E. (eds) The Clinical Encounter. Philosophy and Medicine, vol 14. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-7148-6_17

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  • DOI: https://doi.org/10.1007/978-94-009-7148-6_17

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-7150-9

  • Online ISBN: 978-94-009-7148-6

  • eBook Packages: Springer Book Archive

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