Ethics Consultation: From Theory to Practice / Edition 1

by Mark P. Aulisio PhD, Robert M. Arnold MD, Stuart J. Youngner MD

Overview

In the clinical setting, questions of medical ethics raise a host of perplexing problems, often complicated by conflicting perspectives and the need to make immediate decisions. In this volume, bioethicists and physicians provide a nuanced, in-depth approach to the difficult issues involved in bioethics consultation. Addressing the needs of researchers, clinicians, and other health professionals on the front lines of bioethics practice, the contributors focus primarily on practical concerns—whether ethics consultation is best done by individuals, teams, or committees; how an ethics consult service should be structured; the need for institutional support; and techniques and programs for educating and training staff—without neglecting more theoretical considerations, such as the importance of character or the viability of organizational ethics.

Product Details

ISBN-13:	9780801871658
Publisher:	Johns Hopkins University Press
Publication date:	05/08/2003
Pages:	240
Sales rank:	394,664
Product dimensions:	6.00(w) x 9.00(h) x 0.88(d)
Age Range:	18 Years

About the Author

Mark P. Aulisio, Ph.D., is an Assistant Professor of Bioethics and Director of the Clinical Ethics Program at MetroHealth Medical Center at Case Western Reserve University. Robert M. Arnold, M.D., is Professor and Leo H. Criep Chair in Patient Care in the Department of Medicine of the University of Pittsburgh School of Medicine, Associate Director for Education at the Center for Bioethics and Health Law, and Chief of the Section of Palliative Care and Medical Ethics.Stuart J. Youngner, M.D., is Chairman of the Department of Bioethics and Susan B. Watson Professor of Bioethics, and Professor of Psychiatry at Case Western Reserve University School of Medicine

Table of Contents

Contents:List of ContributorsPrefaceI. Foundation and Theoretical Questions
1. Meeting the Need: Ethics Consultation in Health Care Today
Mark P. Aulisio2. Can Ethics Consultation Be Saved? Ethics Consultation and Moral Consensus in a Democratic Society
Jonathan Moreno3. Character and Ethics Consultation: Even Ethicists Don't Agree
Franciose Baylis, Howard Brody, Mark P. Aulisio, Dan W. Brock, and William WinsladeII. Practical Questions
4. Innovative Educational Programs: A Necessary First Step Toward Improving Quality in Ethics Consultation
Jacqueline J. Glover and William Nelson5. Techniques for Training Ethics Consultants: Why Traditional Classroom Methods Aren't Enough
Robert M. Arnold and Melanie H. Wilson Silver6. Models for Ethics Consultation: Individual, Team, or Committee?
Cynda Rushton, Stuart J. Youngner, and Joy Skeel7. The Structure and Process fo Ethics Consultation Services
John C. Fletcher and Kathryn L. Moseley8. Institutional Support for Bioethics Committees
Steven Miles and Ruth B. PurtiloIII. Questions on the Horizon
9. Organizational Ethics: Promises and Pitfalls
Paul M. Schyve, Linda L. Emanuel, William Winslade, and Stuart J. Youngner10. The Licensing and Certification of Ethics Consultants: What Part of "No" Was So Hard to Understand?
Charles BoskAppendix. Core Competencies for Health Care Ethics Consultation: The Report of the American Society for Bioethics and Humanities
Index

What People are Saying About This

Bernard Lo

A very important topic from the leaders in the field.

— Bernard Lo, University of California, San Francisco and author of Resolving Ethical Dilemmas

Susan B. Rubin

This book is an important and welcome addition to the scholarship in the field. Addressing the current state and future direction of ethics consultation, it offers a thoughtful overview of some of the most important issues currently debated, from foundational theoretical questions to more practical strategic concerns. It makes a substantial contribution to the literature and will certainly be widely read and referenced.

— Susan B. Rubin, Ph.D., co-founder of The Ethics Practice and Chair of the American Society for Bioethics and Humanities Clinical Ethics Task Force

Editorial Reviews

"The observations recorded here deserve close study by anyone who contemplates setting up a referral system for medical staff facing ethical dilemmas."

Journal of the Royal Society of Medicine - Peter D. Toon

"I recommend this book highly both for its practical value and for its reflective discussion on the nuances of clinical ethics."

Ethics and Medicine - R. Henry Williams

"Excellent basic and practical introduction to the many issues facing the development of clinical ethics consultation."

Bulletin of Medical Ethics

"A nuanced, in depth approach to the difficult issues involved in bioethics consultations."

Human Reproduction and Genetic Ethics

"The writers explore theoretical and practical realities of the ethics consultation process, key participants and their character, and theoretical foundations of ethics and values that contribute to ethical decision making in clinical care."

Choice

Reviewer: Thomas C May, Ph.D.(Medical College of Wisconsin Health Policy Institute)
Description: This book offers a set of in-depth essays that examine issues raised by the ASBH Task Force on Core Competencies for Health Care Ethics Consultation. The original Task Force Report is included as an appendix.
Purpose: The purpose is to explore in detail key issues raised in the ASBH Task Force Report concerning ethics consultation. In this, the book provides a valuable analysis of the report itself. This is essential reading for anyone interested in clinical ethics consultation.
Audience: The book is written for a multidisciplinary audience, and avoids unnecessary use of jargon. The authors and editors are among the most respected names in the field.
Features: Individual chapters in the book cover issues pertaining to the need for and justification of ethics consultation; educational, training and character traits important to ethics consultation; how ethics consultation is conducted (team, individual, or committee; structure and process of consultations themselves); and issues on the horizon for ethics consultation. The sections on education and training are particularly valuable for hospitals wishing to set up ethics consultation services.
Assessment: This book is essential reading for anyone interested in ethics consultation. It provides in-depth analysis of key issues by leading figures in the field, and represents a comprehensive discussion raised by the ASBH Task Force. Because the book includes the Task Force Report as an appendix, and because the book itself is organized around issues raised by the task force, it is a complete, self-contained work that should be extremely valuable both for classroom use, and for ethicists and hospitals conducting ethics consultation.

Doody's Review Service

The observations recorded here deserve close study by anyone who contemplates setting up a referral system for medical staff facing ethical dilemmas.

— Peter D. Toon

Journal of the Royal Society of Medicine

I recommend this book highly both for its practical value and for its reflective discussion on the nuances of clinical ethics.

— R. Henry Williams, MD

Ethics and Medicine

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