Approximation and negotiation: Clinical pragmatism and difference

Cambridge Quarterly of Healthcare Ethics

Volumn 7, Issue 1, 1998, Pages 68-76

  Fins, Joseph J ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTITUDE TO DEATH; ATTITUDE TO HEALTH; BIOETHICS AND PROFESSIONAL ETHICS; BRAIN DEATH; BRAIN TUMOR; CASE REPORT; CHILD; CONFLICT; CONSENSUS; CULTURAL ANTHROPOLOGY; DEATH AND EUTHANASIA; FAMILY; FEMALE; GLIOBLASTOMA; GROUP PROCESS; HUMAN; INTERPERSONAL COMMUNICATION; LEGAL ASPECT; MALE; MEDICAL ETHICS; MEDULLOBLASTOMA; METHODOLOGY; MORALITY; ORTHODOX JUDAISM; PATIENT ATTITUDE; PHILOSOPHY; PRESCHOOL CHILD; PROFESSIONAL PATIENT RELATIONSHIP; PSYCHOLOGICAL ASPECT; RELIGION; SECULARISM; SOCIAL PSYCHOLOGY; TRUST; UNITED STATES;

BIOETHICS AND PROFESSIONAL ETHICS; DEATH AND EUTHANASIA; ORTHODOX JUDAISM; PROFESSIONAL PATIENT RELATIONSHIP;

ATTITUDE TO DEATH; BRAIN DEATH; BRAIN NEOPLASMS; CHILD; CHILD, PRESCHOOL; CONSENSUS; CULTURAL DIVERSITY; CULTURE; DISSENT AND DISPUTES; ETHICS, CLINICAL; ETHICS, MEDICAL; FAMILY; FEMALE; GLIOBLASTOMA; GROUP PROCESSES; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MEDULLOBLASTOMA; MORALS; NEGOTIATING; PATIENT ACCEPTANCE OF HEALTH CARE; PHILOSOPHY; RELIGION; SECULARISM; SOCIAL VALUES; TRUST; UNITED STATES;

EID: 0032324566     PISSN: 09631801     EISSN: None     Source Type: Journal    
DOI: 10.1017/s0963180198701070     Document Type: Article

References (17)

1. Fins JJ, Bacchetta MD. Framing the physician-assisted suicide and voluntary active euthanasia debate: the role of deontology, consequentialism, and clinical pragmatism. Journal of the American Geriatrics Society 1995;43:563-8.
2. Fins JJ. From indifference to goodness. Journal of Religion and Health 1996;35(3):245-54.
3. Miller FG, Fins JJ, Bacchetta MD. Clinical pragmatism: John Dewey and clinical ethics. Journal of Contemporary Health Law. In press 1997.
4. Although this methodology is presented as a linear sequence, this presentation is a schematic illustration of a process in which many of the steps occur simultaneously.
5. For a more detailed account of this methodology see: Fins JJ, Bacchetta MD, Miller FG. Clinical pragmatism: A method of moral problem solving. Kennedy Institute of Ethics Journal 1997:7(2):129-45.
6. I am grateful to Erika Blacksher for this phrase.
7. Adopted Regulation 10 N.Y.C.R.R. 400.16. Determination of Death.
8. 12 Uniform Laws Annotated 320 (1990 Supp.). Uniform Determination of Death Act.
9. The New Jersey Declaration of Death Act. P.L. 1991, Chapter 90 (To be codified as Chapter 6A of Title 26 of the Revised Statutes). Section 5: Exemption to Accommodate Personal Religious Beliefs. Kennedy Institute of Ethics Journal 1991;1(4):289-92.
10. Aspects of these cases have been changed, although key narrative elements remain.
11. Fins JJ. Breaking the silence: futility, fear and anger. In: Solomon ME, ed. Decisions Near the End of Life, vol. 7: Futility. Newton MA: Education Development Center, Inc., 1997:26-7.
12. Veatch RM. The impending collapse of the whole-brain definition of death. Hastings Center Report 1993;23(4):18-24.
13. Troug RD, Fackler JC. Rethinking brain death. Critical Care Medicine 1992;20:1705-13.
14. Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. A definition of irreversible coma. JAMA 1968;205:337-40.
15. Rosner F. Definition of death. In Modern Medicine and Jewish Ethics. 2nd ed. New York: Yeshiva University Press, 1991:263-75.
16. Fins JJ. Across the divide: religious objections to brain death. Journal of Religion and Health 1995;34(1):33-9.
17. Dula, A. African-American suspicion of the healthcare system is justified: what do we do about it? Cambridge Quarterly of Healthcare Ethics 1994;3:347-57.