Abstract
The “clinical ethics” propounded by Richard Zaner is unique. Partly because of his phenomenological orientation and partly because of his own daily practice as a clinical ethicist in a large university hospital, Zaner focuses on the particular concrete situations in which patients and their families confront illness and injury and struggle toward workable ways for dealing with them. He locates ethical reality in the “clinical encounter.” This encounter encompasses not only patient and physician but also the patient’s family and friends and indeed the entire “lifeworld” in which the patient is still striving to live. In order to illuminate the central moral constituents of such human predicaments, Zaner discusses the often-overlooked features of disruption and crisis, the changed self, the patient’s dependence and the physician’s power, the violation of personal boundaries and their necessary reconfiguring, and the art of listening.
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References
T.L. Beauchamp J.F. Childress (1994) Principles of Biomedical Ethics, 4th ed. Oxford University Press New York
P. Berger T. Luckmann (1966) The Social Construction of Reality, 1st ed. Doubleday Garden City, NY
M. Bury (1982) ArticleTitleChronic Illness as Biographical Disruption Sociology of Health and Illness 4 167–182
H. Brody (1987) Stories of Sickness Yale University Press New Haven, CT
E.J. Cassell (1976) The Healer’s Art: A New Approach to the Doctor– Patient Relationship. J.B. Lippincott Co. Philadephia
E.J. Cassell (1985) Talking with Patients. Vol 1. MIT Press Boston, MA
L. Edelstein (1967) The Professional Ethics of the Greek Physician. O. Temkin C.L. Temkin (Eds) Ancient Medicine. The Johns Hopkins Press Baltimore 319–348
A. Frank (1995) The Wounded Storyteller: Body, Illness, and Ethics. The University of Chicago Press Chicago
L.C. Garro (1992) Chronic Illness and the Construction of Narratives M.-J. DelVecchio Good P.E. Brodwin B.J. Good A. Kleinman (Eds) Pain as Human Experience: An Anthropological Perspective University of California Press Berkeley
M.-J.D. Good P.E. Brodwin B.J. Good Bryon A. Kleinman (1992) Pain as Human Experience: An Anthropological Perspective. University of California Press Berkeley
A.R. Jonsen S. Toulmin (1988) The Abuse of Casuistry: A History of Moral Reasoning. University of California Press Berkeley
M.P. Kelley (1986) ArticleTitleThe Subjective Experience of Chronic Disease: Some Implications for the management of Ulcerative Colitis Journal of Chronic Diseases 39 653–666
A. Kleinman (1986) Illness Meanings and Illness Behavior S. McHugh M. Vallis (Eds) Illness Behavior: A Multidisciplinary Model Plenum Press New York 149–160
A. Kleinman (1988) The Illness Narratives: Suffering, Healing and the Human Condition. Basic Books, Inc New York
B. Nardi (1983) ArticleTitleGoals in Reproductive Decision Making American Ethnologist 10 697–715
E.D. Pellegrino (1979) ArticleTitleToward a Reconstruction of Medical Morality: The Primacy of the Act of Profession and the Fact of Illness The Journal of Medicine and Philosophy 4 32–56
N. Quinn D. Holland (1987) Culture and Cognition D. Holland N. Quinn (Eds) Cultural Models in Language and Thought Cambridge University Press Cambridge 3–40
O Sacks (1985) The Man Who Mistook his Wife for a Hat and Other Clinical Tales. Summit Books New York
G. Williams (1984) ArticleTitleThe Genesis of Chronic Illness: Narrative Reconstruction Sociology of Health and Illness 6 175–200
R.M Zaner (1981) The Context of Self: A Phenomenological Inquiry Using Medicine as a Clue. Ohio University Press Athens
R.M. Zaner (1982) Chance and Morality: The Dialysis Phenomenon. V. Kestenbaum (Eds) The Humanity of the Ill: Phenomenological Perspectives The University of Tennessee Press Knoxville 39–68
R.M Zaner (1988) Ethics and the Clinical Encounter. Prentice Hall Englewood Cliffs
R.M. Zaner (1989) Failed or Ongoing Dialogues? Dax’s Case L.D. Kliever (Eds) Dax’s Case: Essays in Medical Ethics and Human Meaning Southern Methodist University Press Dallas 43–61
R.M Zaner (1993) Troubled Voices: Stories of Ethics and Illness. The Pilgrim Press Cleveland, OH
R.M. Zaner (1994) Experience and Moral Life: A Phenomenological Approach to Bioethics. R. Hamel E. DuBose (Eds) Beyond Principlism Trinity Press International Valley Forge, PA 211–239
R.M. Zaner (1995) Interpretation and Dialogue: Medicine as a Moral Discipline. S.G. Crowell (Eds) The Prism of the Self: Philosophical Essays in Honor of Maurice Natanson. Kluwer Academic Publishers Dordrecht 147–168
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Wiggins, O.P., Schwartz, M.A. Richard Zaner’s Phenomenology of the Clinical Encounter. Theor Med Bioeth 26, 73–87 (2005). https://doi.org/10.1007/s11017-004-4805-3
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DOI: https://doi.org/10.1007/s11017-004-4805-3