A Critical Examination of Ethics in Health Care and Biomedical Research

This book is a critical examination of certain basic issues and themes crucial to understanding how ethics currently interfaces with health care and biomedical research. Beginning with an overview of the field, it proceeds through a delineation of such key notions as trust and uncertainty, dialogue involving talk and listening, the vulnerability of the patient against the asymmetric power of the health professional, along with professional and individual responsibility. It emphasizes several themes fundamental to ethics and health care: (1) the work of ethics requires strict focus on the specific situational understanding of each involved person. (2) Moral issues, at least those intrinsic to each clinical encounter, are presented solely within the contexts of their actual occurrence; therefore, ethics must not only be practical but empirical in its approach. (3) Each particular situation is in its own way imprecise and uncertain and the different types and dimensions of imprecisionand uncertainty are critical for everyone involved. (4) Finally, medicine and health care more broadly are governed by the effort to make sense of the healer’s experiences with the patient, whose own experiences and interpretations are ingredient to what the healer seeks to understand and eventually treat. In addition to providing a way to develop ethical considerations in clinical life and research projects, the book proposes that narratives provide the finest way to state and grapple with these themes and issues, whether in classrooms or real-life situations. It concludes with a prospective analysis of newly emerging issues presented by and within the new genetics, which, together within a focus on the phenomenon of birth, leads to an clearer understanding of human life.

• Clinical Ethics
• Clinical Ethics Consultation
• Clinical Listening
• Narrative Writing
• relationship between professional and patient
• the beginning and end of life

“In this book, the author consolidates and elaborates on the writings from his decades-long career as a philosopher in clinical ethics, providing a much-needed phenomenological exploration of important issues in clinical ethics. … The intended audience includes both students and veterans in the amorphous field that the author refers to as clinical ethics, medical humanities, or bioethics. For experienced bioethicists, this book does a commendable job of reminding readers of the various life cycles this new field has already undergone.” (Michelle Bach, Doody's Book Reviews, February, 2016)

• Ann Geddes Stahlman Professor Emeritus of Medical Ethics and Philosophy of Medicine, Department of Medicine, Primary, Vanderbilt University, Nashville, USA

  Richard M. Zaner

Policies and ethics