Traversing boundaries: Clinical ethics, moral experience, and the withdrawal of life supports

Theoretical Medicine and Bioethics

Volumn 23, Issue 3, 2002, Pages 233-258

  Bliton, Mark J ^a   Finder, Stuart G ^a  

^a VANDERBILT UNIVERSITY   (United States)

Author keywords

Boundaries; Clinical ethics; Expository and narrative styles; Moral experience; Responsibility; Singularity; Withdrawal of life support

Indexed keywords

COGNITION; CULTURAL FACTOR; DEATH; FAMILY; HUMAN; LEGAL ASPECT; MEDICAL DECISION MAKING; MEDICAL ETHICS; MORALITY; RESPONSIBILITY; RESUSCITATION; REVIEW; SOCIAL ASPECT; SUPPORT GROUP; TASK PERFORMANCE; TREATMENT WITHDRAWAL;

ANALYTICAL APPROACH; DEATH AND EUTHANASIA;

ETHICISTS; ETHICS, CLINICAL; HUMANS; LIFE SUPPORT CARE; MORALS; SOCIAL RESPONSIBILITY; WITHHOLDING TREATMENT;

EID: 0036430871     PISSN: 13867415     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1020855610647     Document Type: Review

References (29)

1. Aulisio MP, Arnold RM, Youngner SJ, eds. Special issue: Commentary on the ASBH core competencies for health care ethics consultation. The Journal of Clinical Ethics 1999; 10: 3-49.
2. Bliton MJ, Finder SG. The eclipse of the individual in policy (Where is the place for justice?) Cambridge Quarterly of Healthcare Ethics 1996; 5: 519-532.
3. Bliton MJ, Finder SG. Strange, but not stranger: The peculiar visage of philosophy in clinical ethics consultation. In: Zaner RM, ed. Performance, Talk, Reflection: What is Going on in Clinical Ethics Consultation. Dordrecht: Kluwer Academic Publishers, 1999; 69-97.
4. Campbell ML, Bizek KS, Stewart R. Integrating technology with compassionate care: Withdrawal of ventilation in a conscious patient with apnea. American Journal of Critical Care 1998; 7: 85-89.
5. Cherny NI. Commentary: Sedation in response to refractory existential distress: Walking the fine line. Journal of Pain and Symptom Management 1998; 16: 404-405.
6. Churchill L.R. Are we professionals? A critical look at the social role of bioethicists. Daedalus 1999; 128: 253-274.
7. The Council on Ethical and Judicial Affairs, American Medical Association. Decisions near the end of life. Journal of the American Medical Association 1992; 267: 2229-2233.
8. Derrida J. The Gift of Death, D. Wills (trans.), Chicago: The University of Chicago Press, 1995.
9. Devettere RJ. Reconceptualizing the euthanasia debate. The Journal of Law, Medicine and Health Care 1989; 17: 145-155.
10. Edwards MJ, Tolle SW. Disconnecting a ventilator at the request of a patient who knows he will then die: The doctor's anguish. Annals of Internal Medicine 117: 254-256.
11. Fox E, Stocking C. Ethics consultant's recommendations for life-prolonging treatment of patients in a persistent vegetative state. Journal of the American Medical Association 1993; 270: 2578-2582.
12. The Hastings Center. Guidelines on the Termination of Life-Sustaining Treatment and the Care of the Dying. Indianapolis: Indiana University Press, 1987.
13. Howe EG. Ethics consultants: Could they do better? The Journal of Clinical Ethics 1999; 10: 13-25.
14. Husserl E. Formal and Transcendental Logic, D. Cairns (trans.). Martinus Nijhoff: The Hague, 1969.
15. Jonas H. The blessing and burden of mortality. Hastings Center Report 1992; 22: 34-40.
16. Jecker NS, Emanuel L. Are acting and omitting morally equivalent? A reappraisal. Journal of American Geriatric Society 1995; 43: 696-701.
17. President's Commission for the study of ethical problems in medicine and biomedical and behavioral research. Deciding to Forgo Life-Sustaining Treatment: A Report on the Ethical, Medical and Legal Issues in Treatment Decisions. Washington, D.C.: U.S. Government Printing Office, 1983.
18. Quill TE. The ambiguity of clinical intentions. The New England Journal of Medicine 1993; 329: 1039-1040.
19. Rosen EJ. Commentary: A case of Terminal Sedation in the family. Journal of Pain and Symptom Management 1998; 16: 406-407.
20. Scott CE. Responsibility with memory. Research in Phenomenology 2000; XXX: 240-251.
21. Shaivoa L. Case presentation: Terminal sedation and existential distress. Journal of Pain and Symptom Management 1998; 16: 403-404.
22. Solomon MZ, et al. Decisions near the end of life: Professional views on life-sustaining treatments. American Journal of Public Health 1993; 83: 14-23.
23. Special Section. Euthanasia and public policy. Cambridge Quarterly of Healthcare Ethics 1998; 7: 339-401.
24. Spiegelburg H. Putting ourselves into the place of others: Towards a phenomenology of imaginary self transposal. Human Studies 1980; 3: 169-173.
25. Tolle SW, Girard DE. The physician's role in the events surrounding death. Archives of Internal Medicine 1983; 143: 1447-1449.
26. Weir RF. Options among ethicists. Chapter 6 Abating Treatment with Critically Ill Patients: Ethical and Legal Limits in the Medical Prolongation of Life. New York: Oxford University Press, 1989: 214-289.
27. Zaner RM. Ethics and the Clinical Encounter. Englewood Cliffs, NJ: Prentice Hall, 1988.
28. Zaner RM. Troubled Voices: Stories of ethics and illness. Cleveland, OH: The Pilgrim Press, 1993.
29. Zaner RM. Listening or telling? Thoughts on responsibility in clinical ethics consultation. Theoretical Medicine 1996; 17: 255-277.