Literature DB >> 27302969

Moral Expertise in the Clinic: Lessons Learned from Medicine and Science.

Leah McClimans1, Anne Slowther2.   

Abstract

Philosophers and others have questioned whether or not expertise in morality is possible. This debate is not only theoretical, but also affects the perceived legitimacy of clinical ethicists. One argument against moral expertise is that in a pluralistic society with competing moral theories no one can claim expertise regarding what another ought morally to do. There are simply too many reasonable moral values and intuitions that affect theory choice and its application; expertise is epistemically uniform. In this article, we discuss how similar concerns have recently threatened to undermine expertise in medicine and science. In contrast, we argue that the application of values is needed to exercise medical, scientific, and moral expertise. As long as these values are made explicit, worries about a pretense to authority in the context of a liberal democracy are ill-conceived. In conclusion, we argue for an expertise that is epistemically diverse.
© The Author 2016. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Keywords:  medical expertise; moral expertise; scientific expertise; values

Mesh:

Year:  2016        PMID: 27302969      PMCID: PMC4986003          DOI: 10.1093/jmp/jhw011

Source DB:  PubMed          Journal:  J Med Philos        ISSN: 0360-5310


  23 in total

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Authors: 
Journal:  JAMA       Date:  1992-11-04       Impact factor: 56.272

Review 2.  Four models of the physician-patient relationship.

Authors:  E J Emanuel; L L Emanuel
Journal:  JAMA       Date:  1992 Apr 22-29       Impact factor: 56.272

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Authors:  Maya J Goldenberg
Journal:  Soc Sci Med       Date:  2005-12-27       Impact factor: 4.634

4.  Differential diagnosis and the suspension of judgment.

Authors:  Ashley Graham Kennedy
Journal:  J Med Philos       Date:  2013-08-29

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Journal:  Lancet       Date:  1995-09-23       Impact factor: 79.321

6.  Expertise, wisdom and moral philosophers: a response to Gesang.

Authors:  Christopher Cowley
Journal:  Bioethics       Date:  2011-01-17       Impact factor: 1.898

Review 7.  Restoring the balance: evidence-based medicine put in its place.

Authors:  B G Charlton
Journal:  J Eval Clin Pract       Date:  1997-04       Impact factor: 2.431

8.  Evidence based medicine: what it is and what it isn't.

Authors:  D L Sackett; W M Rosenberg; J A Gray; R B Haynes; W S Richardson
Journal:  BMJ       Date:  1996-01-13

9.  Towards self-determination in quality of life research: a dialogic approach.

Authors:  Leah McClimans
Journal:  Med Health Care Philos       Date:  2009-03-10

10.  Evidence based medicine: a movement in crisis?

Authors:  Trisha Greenhalgh; Jeremy Howick; Neal Maskrey
Journal:  BMJ       Date:  2014-06-13
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  4 in total

1.  A Guide to Establishing Ethics Committees in Behavioral Health Settings.

Authors:  David J Cox
Journal:  Behav Anal Pract       Date:  2020-08-17

2.  Two Troubling Trends in the Conversation Over Whether Clinical Ethics Consultants Have Ethics Expertise.

Authors:  Abram Brummett; Christopher J Ostertag
Journal:  HEC Forum       Date:  2018-06

3.  The "Ethics" Expertise in Clinical Ethics Consultation.

Authors:  Ana S Iltis; Lisa M Rasmussen
Journal:  J Med Philos       Date:  2016-06-03

4.  A pragmatist approach to clinical ethics support: overcoming the perils of ethical pluralism.

Authors:  Giulia Inguaggiato; Suzanne Metselaar; Rouven Porz; Guy Widdershoven
Journal:  Med Health Care Philos       Date:  2019-09
  4 in total

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