Dialogic Consensus In Clinical Decision-Making
Autor: | Paul Walker, Terry Lovat |
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Rok vydání: | 2015 |
Předmět: |
Health (social science)
Consensus media_common.quotation_subject Clinical Decision-Making Decision Making Medical law 0603 philosophy ethics and religion Morals 03 medical and health sciences 0302 clinical medicine Clinical decision making Humans Ethics Medical Interpersonal Relations 030212 general & internal medicine Sociology Cooperative Behavior media_common Dialogic Physician-Patient Relations Health Policy Communication Discourse theory 06 humanities and the arts Awareness Morality Epistemology Discourse ethics Clinical Practice Philosophy Attitude Communicative action 060301 applied ethics Ethical Theory |
Zdroj: | Journal of bioethical inquiry. 13(4) |
ISSN: | 1176-7529 |
Popis: | This paper is predicated on the understanding that clinical encounters between clinicians and patients should be seen primarily as inter-relations among persons and, as such, are necessarily moral encounters. It aims to relocate the discussion to be had in challenging medical decision-making situations, including, for example, as the end of life comes into view, onto a more robust moral philosophical footing than is currently commonplace. In our contemporary era, those making moral decisions must be cognizant of the existence of perspectives other than their own, and be attuned to the demands of inter-subjectivity. Applicable to clinical practice, we propose and justify a Habermasian approach as one useful means of achieving what can be described as dialogic consensus. The Habermasian approach builds around, first, his discourse theory of morality as universalizable to all and, second, communicative action as a cooperative search for truth. It is a concrete way to ground the discourse which must be held in complex medical decision-making situations, in its actual reality. Considerations about the theoretical underpinnings of the application of dialogic consensus to clinical practice, and potential difficulties, are explored. |
Databáze: | OpenAIRE |
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