Brummett, Abram and Ostertag, Christopher J. 2017. Two Troubling Trends in the Conversation Over Whether Clinical Ethics Consultants Have Ethics Expertise. HEC Forum,
PARIS, JOHN J. 2017. Expert Testimony by a Bioethicist. Cambridge Quarterly of Healthcare Ethics, Vol. 26, Issue. 03, p. 469.
Hardart, George E. and Lipson, Mindy 2016. Ethics consultation volume at U.S. children's hospitals: A cross-sectional survey. AJOB Empirical Bioethics, Vol. 7, Issue. 1, p. 64.
Bruce, Courtenay R. Peña, Adam Kusin, Betsy B. Allen, Nathan G. Smith, Martin L. and Majumder, Mary A. 2014. An Embedded Model for Ethics Consultation: Characteristics, Outcomes, and Challenges. AJOB Empirical Bioethics, Vol. 5, Issue. 3, p. 8.
Schicktanz, Silke Schweda, Mark and Wynne, Brian 2012. The ethics of ‘public understanding of ethics’—why and how bioethics expertise should include public and patients’ voices. Medicine, Health Care and Philosophy, Vol. 15, Issue. 2, p. 129.
Adams, D. 2011. Artificial Kidneys and the Emergence of Bioethics: The History of 'Outsiders' in the Allocation of Haemodialysis. Social History of Medicine, Vol. 24, Issue. 2, p. 461.
Bosk, Charles L. 2010. Bioethics, Raw and Cooked: Extraordinary Conflict and Everyday Practice. Journal of Health and Social Behavior, Vol. 51, Issue. 1_suppl, p. S133.
Scofield, Giles R. 2008. What Is Medical Ethics Consultation?. The Journal of Law, Medicine & Ethics, Vol. 36, Issue. 1, p. 95.
Devlin, Brian and Magill, Gerard 2006. The process of ethical decision making. Best Practice & Research Clinical Anaesthesiology, Vol. 20, Issue. 4, p. 493.
Parsi, Kayhan 2005. Bioethics Consultation in the Private Sector: What is an Appropriate Model. HEC Forum, Vol. 17, Issue. 2, p. 135.
Cowley, Christopher 2005. A New Rejection of Moral Expertise. Medicine, Health Care and Philosophy, Vol. 8, Issue. 3, p. 273.
Agich, George J. 2005. What Kind of Doing is Clinical Ethics?. Theoretical Medicine and Bioethics, Vol. 26, Issue. 1, p. 7.
Kelly, Susan E. 2003. Public Bioethics and Publics: Consensus, Boundaries, and Participation in Biomedical Science Policy. Science, Technology, & Human Values, Vol. 28, Issue. 3, p. 339.
Bliton, Mark J. and Finder, Stuart G. 1999. Strange, But Not Stranger: The Peculiar Visage of Philosophy in Clinical Ethics Consultation. Human Studies, Vol. 22, Issue. 1, p. 69.
Youngner, Stuart J. 1997. Consultation-Liaison Psychiatry and Clinical Ethics. Psychosomatics, Vol. 38, Issue. 4, p. 309.
Whether ethics is too important to be left to the experts or so important that it must be is an age-old question. The emergence of clinical ethicists raises it again, as a question about professionalism. What role clinical ethicists should play in healthcare decision making – teacher, mediator, or consultant – is a question that has generated considerable debate but no consensus.
1. Noble CN. Ethics and experts. Hastings Center Report 1982; 12(3):7–9.
2. La Puma J, Schiedermayer DL. Ethics consultation: skills, roles, and training. Annals of Internal Medicine 1991;114:155–60.
3. Singer PA, Pellegrino ED, Siegler M. Ethics committees and consultants. Journal of Clinical Ethics 1990;1:263–7.
4. Larson MS. The Rise of Professionalism. Berkeley: University of California Press, 1977.
5. Freidson E. Professional Dominance. New York: Atherton, 1970.
6. Self DJ, Skeel JD. A study of the foundations of ethical decision making of clinical ethicists. Theoretical Medicine 1991;12:117–27.
7. Berlin I. The pursuit of the ideal. In: Hardy H, ed. The Crooked Timber of Humanity. New York: Vintage, 1992:1–19.
8. Jaggar AM. Feminist ethics: projects, problems, prospects. In: Card C, ed. Feminist Ethics. Lawrence: University of Kansas Press, 1991:78–104.
9. Dula A. Toward an Afro-American perspective on bioethics. Journal of Health Care for the Poor and Undersewed 1991;2:259–69.
10. Lungones MC, Spelman EV. Have we got a theory for you! Feminist theory, cultural imperialism, and the demand for the “woman's voice”. Women's Studies International Forum 1983;6:573–81.
11. Spelman EV. Inessential Woman: Problems of Exclusion in Feminist Thought. Boston: Beacon Press, 1988.
12. Sherwin S. No Longer Patient: Feminist Ethics and Health Care. Philadelphia: Temple University Press, 1992.
13. Callahan S. The use of emotion in ethical decision making. Hastings Center Report 1988; 18(3):9–14.
14. Alderson P. Abstract bioethics ignores human emotions. Bulletin of Medical Ethics 1991(05): 13–21.
15. La Puma J. Consultation in clinical ethics – issues and questions. Western Journal of Medicine 1987;149:633–7.
16. Siegler M. Defining the goals of clinical ethics consultation: a necessary step for improving quality. Quality Review Bulletin 1992;18(1):15–6.
17. Tulsky JA, Lo B. Ethics consultation: time to focus on patients. American Journal of Medicine 1992;92:343–5.
18. Barnard D. Reflections of a reluctant clinical ethicist: ethics consultation and the collapse of critical distance. Theoretical Medicine 1992;13:15–22.
19. Frader JE. Political and interpersonal aspects of ethics consultation. Theoretical Medicine 1992;13:31–44.
20. Hare RM. Medical ethics: can the moral philosopher help? In: Spicker SF, Engelhardt HT, eds. Philosophical Medical Ethics: Its Nature and Significance. Dodrecht, The Netherlands: Reidel, 1977:49–62.
21. Kushner T, Belliotti RA, Buckner D. Toward a methodology for moral decision making in medicine. Theoretical Medicine 1991;12:281–93.
22. Scofield GR. The problem of the impaired clinical ethicist. Quality Review Bulletin 1992; 18(1):26–32.
23. Berger PL. The Sacred Canopy. New York: Doubleday, 1967:105–71.
24. Parsons T. Research with human subjects and the professional complex. Daedalus 1969;98:349.
25. Freidson E. Professional Powers. Chicago: University of Chicago Press, 1986:6–16.
26. Freidson E. Profession of Medicine. New York: Harper & Row, 1970:389.
27. Lukes S. Power and authority. In: Bottomore T, Nisbet R, eds. A History of Sociological Analysis. New York: Basic Books, 1978:642.
28. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Making Health Care Decisions. Washington, D.C.: U.S. Government Printing Office, 1982:44–5.
29. Thompson DW. Political Ethics and Public Office. Cambridge, Massachusetts: Harvard University Press, 1987:40–65.
30. Ross JW. Case consultation: the committee or the clinical consultant? HEC Forum 1990;2:293.
31. Callahan D. Bioethics as a discipline. Hastings Center Studies 1973; 1(2):66–73.
32. Clouser KD. Medical ethics: some uses, abuses, and limitations. New England Journal of Medicine 1975;293:384–7.
33. Walzer M. Philosophy and democracy. Political Theory 1981;9:379–9.
34. Guttman A. Democratic Education. Princeton, New Jersey: Princeton University Press, 1987.
35. Singer P. How do we decide? Hastings Center Report 1982; 12(3):10.
36. Pellegrino ED, Siegler M, Singer PA. Future directions in clinical ethics. Journal of Clinical Ethics 1991;2:2–9.
37. Elliott C. Where ethics comes from and what to do about it. Hastings Center Report 1992;22(4):35
1. La Puma J, Schiedermayer DL. Ethics consultation: skills roles and training. Annals of Internal Medicine 1991;114:155–60.
2. Singer PA, Pellegrino ED, Siegler M. Ethics committees and consultants. Journal of Clinical Ethics 1990;1:263–7.
3. Fletcher JC. Needed: a broader view of ethics consultation. Quality Review Bulletin 1992; 18(1): 12–4.
4. La Puma J, Priest ER. Medical staff privileges for ethics consultants: an institutional model. Quality Review Bulletin 1992; 18(1): 17–20.
5. Siegler M. Defining the goals of clinical ethics: consultation a necessary step for improving quality. Quality Review Bulletin 1992; 18(1): 15–6.
6. Fletcher JC, Brody H. Clinical ethics. In: Reich WT, ed. Encyclopedia of Bioethics. 2nd ed.New York: Macmillan (in preparation).
7. Jonsen AR, Siegler M, Winslade WJ. Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine. 3rd ed.New York: MacGraw-Hill, 1992.
8. The Journal of Clinical Ethics. 107 E. Church St. Frederick, Maryland 21701.
9. Reich WT, ed. Encyclopedia of Bioethics. New York: Free Press, 1978.
10. Fletcher J. “Deciding What Is Right” Graduation Address, Medical School, University of Minnesota, June 4, 1976.
11. Pellegrino ED, Siegler M, Singer PA. Teaching clinical ethics. Journal of Clinical Ethics 1990;1:175–80.
12. Center for Biomedical Ethics, University of Minnesota. Graduate and Post-Doctoral Programs in Bioethics and Medical Humanities. August, 1992. The document lists 28 total programs, including 13 with an M. A. (11) or a 1-year fellowship (2). The remainder also offer Ph.D. programs or special academic opportunities. An additional listing of 60 graduate programs in bioethics has been published by the Hastings Center. This document, Bioethics Education, 1993, lists 14 programs for clinical ethics. These institutions offer an M. A. program with a concentration either in bioethics with clinical practicum or in clinical ethics: Georgetown University, Loyola University of Chicago, University of Pittsburgh, University of Tennessee, University of Virginia, University of Washington, and Medical College of Wisconsin. Others have 1-year fellowships in clinical ethics: Loyola University of Chicago, Lutheran General Hospital (Park Ridge, 1L), University of Chicago, Clinical Center, National Institutes of Health, Cleveland Clinic Foundation, and the University of Pittsburgh.
13. Singer PA, Siegler M, Pellegrino ED. Research in clinical ethics. Journal of Clinical Ethics 1990;1:95–9.
14. Siegler M, Pellegrino ED, Singer PA. Clinical medical ethics. Journal of Clinical Ethics 1990;1:5–9.
15. Siegler M. A legacy of Osier: teaching clini- cal ethics at the bedside. Journal of the American Medical Association 1978;239:951–6.
16. Siegler M. Decision making strategy for clinical-ethical problems in medicine. Archives of Internal Medicine 1982;142:2178–9.
17. Edelstein L. Ancient Medicine. Baltimore: Johns Hopkins University Press, 1967.
18. Zaner RM. Ethics and the Clinical Encounter. Englewood Cliffs, New Jersey: Prentice-Hall, 1988.
19. President's Commission for the Study of Ethical Problems in Medicine and Biomedical Behavioral Research. Making Health Care Decisions, Vol. 1. Washington, D.C.: U.S. Government Printing Office, 1983:4.
20. Hastings Center Project on Bioethics Education. Bioethics Education. Expanding the Circle of Participants. Briarcliff Manor, New York: The Hastings Center, 1993.
21. Joint Commission for Accreditation of Health Care Organizations. Accreditation Manual for Hospitals, Vol. 1. Standards, 1991 ed. Oakbrook Terrace, Illinois, 1992.
22. Fletcher JC. Ethics committees and due process. Law, Medicine, and Health Care 1992;20(4): 291–293.
23. Wolf S. Ethics committees and due process: nesting rights in a community of caring. Maryland Law Review 1991;50:798–858.
24. Fry-Revere S. The Accountability of Bioethics Committees and Consultants. Frederick, Maryland: University Publishing Group, 1992.
25. Bouvia v. Superior Court, 179 Cal. App. 3d 1127, 225 Cal. Rptr. 297 (1986).
26. Fletcher JC. The bioethics movement and hos- pital ethics committees. Maryland Law Review 1991;50:859–88.
1. Plato, The Gorgias. [Text with introduction and commentary by Dodds E. R..] Oxford, England: Clarendon Press, 1959.
2. Jonsen AR. Toulmin SE. The Abuse of Casuistry. A History of Moral Reasoning. Berkeley: University of California Press, 1988:257.
3. Zaner RM. Voices and time. Journal of Philosophy and Medicine 1993;18:9–31.
4. Goldman A, Soloveitchik Joseph D. 90, Orthodox rabbi, dies. The New York Times 1993 04 10:10(col 3).
1. National Commission for the Protection of Human Research Subjects. The Belmont Report. Appendix, Vol I. Washington, D.C.: U.S. Government Printing Office, 1986; 181,296:41238, GPO 887–809. DHEW publication no. (OS) 78–0013.
2. Engelhardt DV. Ethik im Alltag der Medizin. Berlin: Springer, 1989.
3. Kanoti GA, Vinicki JM. The role and structure of hospital ethics committees. In: Anderson GR, Glesnes-Anderson VA, eds. Health Care Ethics. Rockviile, Maryland: Aspen Publishers, 1987.
4. Baylis F. Persons with moral expertise and moral experts: wherein lies the difference. In: Hoffmaster B, Hoffmasks B, Freedman B, Frase G, eds. Clinical Ethics: Theory and Practice. Clifton, New Jersey: Humana Press, 1989:95.
5. Singer P, Wells D. The Reproductive Revolution. Oxford, England: Oxford University Press, 1984:200.
6. Grovitz S. Baiting bioethics. Ethics 1986;96: 356–74.
7. Caplan AL. Moral experts and moral expertise: do either exist? In: Hoffmaster B, Hoffmasks B, Freedman B, Frase G, eds. Clinical Ethics: Theory and Practice. Clifton, New Jersey: Humana Press, 1989: 59–87.
8. Bernstein RJ. Beyond Objectivism and Relativism: Science, Hermeneutics, and Praxis. Philadelphia: University of Pennsylvania Press, 1985:54.
1. Self DJ. Value Language and Objectivity: An Analysis in Philosophical Ethics (Ph.D. Dissertation). Chapel Hill, NC: University of North Carolina, 1973.
2. Self DJ. Methodological considerations for medical ethics. Science, Medicine and Man 1974;1:195–202.
3. Self DJ. Objectivity and value superveniency in medical ethical decision-making. Ethics in Science and Medicine 1975;2:145–50.
4. Self DJ. An alternative explication of the empirical basis of medical ethics. Ethics in Science and Medicine 1975;2:151–66.
5. Self DJ. Inconsistent presuppositions of Dewey's pragmatism. The Journal of Educational Thought 1976;10:101–9.
6. Self DJ. The philosophical foundations of various approaches to medical ethical decision-making. The Journal of Medicine and Philosophy 1979;4:20–31.
7. Self DJ. A study of the foundations of ethical decision-making of physicians. Theoretical Medicine 1983;4:57–69.
8. Self DJ, Skeel JD. A study of the foundations of ethical decision-making of clinical medical ethicists. Theoretical Medicine 1991;7:117–27.
Email your librarian or administrator to recommend adding this journal to your organisation's collection.
Full text views reflects the number of PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views.
* Views captured on Cambridge Core between September 2016 - 20th October 2017. This data will be updated every 24 hours.