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PubMed1993

Is ethics consultation dangerous?

Scofield's article is an extremely important paper that is well-written, carefully and articulately argued, but fundamentally wrong, i.e., philosophically wrong. His position ultimately leads to pure subjectivism of values or a radical relativism of values where anyone's judgment about values is just as good as anyone else's judgment. He holds that in matters of ethical decision making there is no moral expertise. That is, when it comes to value judgments you cannot get them right and you cannot get them wrong. This position undermines the very possibility of ethics -- at least normative ethics, which is what Scofield objects to ethics consultants doing. But common sense tells us that some value judgments are better than others.

Decision Making↗
PubMed1993

Why clinical ethics consultants might not want to be educators.

... Perhaps we should make explicit that clinical ethics consultants' work is to encourage and to assist others to think about the nature of their profession and reflect on their own behaviors, rather than to change behavior directly. Clinical ethics consultants' work is thus made more difficult, but it should be difficult. They should be continually challenged in their work (as teaching in that setting will do) because it will keep them from succumbing to their titles, from believing that they do know what is best, that they are ethics experts. Furthermore, clinical ethics consultants should be doing something very different from what other people in the healthcare environment are doing; they should acknowledge themselves as outsiders and should cherish that status because only then will they be able to ask the difficult questions that psychological proximity to and practical involvement in healthcare obscure. True education, of course, is the most dangerous activity, but the danger posed by such education is considerably more appealing than the danger posed by clinical ethics consultants who pursue and exert power in healthcare under cover of implicit claims and false beliefs about their expertise.

Bioethics↗